Blunt neck trauma: Difference between revisions
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== Vascular Injuries == | == Vascular Injuries == | ||
*[[Vertebral and Carotid Artery Dissection]] | |||
==Workup== | ==Workup== |
Revision as of 07:53, 27 January 2015
Background
- Suspect vascular damage to cord if discrepancy between neuro deficit and level of spinal column injury
- Cord injury is more likely if anterior (vertebral bodies) AND posterior (spinal canal) columns are disrupted
- Penetrating injury rarely results in unstable fracture
Fractures and Related
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Vascular Injuries
Workup
- If find injury consider CT C-spine, x-ray rest of spine
Management
- Prehospital: see the NAEMSP National Guidelines for Spinal Immobilization
See Also
- Spinal Cord Trauma
- Spinal Cord Compression (Non-Traumatic)
- Neurogenic Shock
- C-spine (NEXUS)
- C-Spine X-Ray
- Fractures (Main)
- Unstable spine fractures
- C-Spine (Canadian Rule)
- Vertebral fractures
Source
- National Spinal Cord Injury Statistical Center (NSCISC). Spinal Cord Injury. Facts and Figures at a Glance. Birmingham, Ala: NSCISC; July 1996
- Ivy ME, Cohn SM. Addressing the myths of cervical spine injury management. Am J Emerg Med. Oct 1997;15(6):591-5
- Woodring JH, Lee C, Duncan V. Transverse process fractures of the cervical vertebrae: are they insignificant? J Trauma. June 1993; 34(6):797-802.
- Tintinalli's