Difference between revisions of "Blunt neck trauma"

(Background)
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[[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]]
 
[[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]]
 
*Suspect vascular damage to cord if discrepancy between neuro deficit and level of spinal column injury
 
*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  
+
*Cord injury is more likely if anterior (vertebral bodies) AND posterior (spinal canal) columns are disrupted
*Penetrating injury rarely results in unstable fracture
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 08:07, 27 January 2015

Background

Three column concept of spinal fracture stability
  • 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

Differential Diagnosis

Cervical Spine Fracture and Dislocation Types

Vertebral and Carotid Artery Dissection

Workup

  • If find injury consider CT C-spine, x-ray rest of spine

Management

See Also

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