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Spine And Trauma

Joana Raquel Santos Veiga, Kay Mitchell
BACKGROUND: A missed cervical spinal injury could have devastating consequences. Patients with a suspected cervical spinal injury are kept in rigid collars for cervical immobilisation. Prolonged collar use has important clinical implications. A well-defined guideline related to the removal of cervical collars from adult obtunded blunt trauma patients has not been developed. AIM: We sought to determine if Magnetic Resonance Imaging offered a definitive benefit over Computer Tomography with respect to patient management...
November 30, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Venkat Kavuri, Gurpal Pannu, Matthew Moront, Peter Pizzutillo, Martin Herman
BACKGROUND: Safe and effective clearance of the pediatric cervical spine presents a challenging problem due to a myriad of reasons, which has often led to further imaging studies such as computed tomographic (CT) scans being performed, exposing the pediatric patient to significant radiation with a potential increased cancer risk. The goal of this study is to develop an effective algorithm for cervical spine clearance that minimizes radiation exposure. METHODS: A cervical spine clearance protocol had been utilized in our institution from 2002 to 2011...
November 30, 2018: Journal of Pediatric Orthopedics
Joe W Brewer, Charles S Cox, Stephen A Fletcher, Manish N Shah, Michelle Sandberg, David I Sandberg
BACKGROUND: This study sought to determine the role of social factors in pediatric gunshot wounds (GSW). METHODS: We identified medical records of victims aged 0-15 years who presented to our Level 1 pediatric trauma center from 2001 to 2016. RESULTS: Three hundred fifty-eight children were treated between 2001 and 2016. Patients ranged from 2.5 months to 15 years old (mean = 10.8 years). Two hundred ninety-two patients (81.6%) were male, and 66 (18...
November 7, 2018: Journal of Pediatric Surgery
Kateřina Kalová, Kateřina Boberová, Renáta Přichystalová, Jan Nováček, Ivana Jarošová, Tomáš Zikmund, Jozef Kaiser, Klaudia Kyselicová, Lukáš Šebest, Marián Baldovič, Adam Frtús, Martin Sikora, Morten E Allentoft
The skeletal remains of the young female (20-24 years) from Grave JP/106, discovered in the Southern Suburb of the Břeclav - Pohansko Stronghold (Early Middle Ages, 9th century-beginning of the 10th century, present day Czech Republic) display several noteworthy pathologies. The first is deformation of the mandible, which was most probably caused by a fracture of the ramus in combination with a subcondylar fracture. The spine of this young woman also exhibits a probable traumatic injury of the cervical spine in combination with a slowly growing structure situated inside the spinal canal, which caused deformation centered upon C7...
November 26, 2018: International Journal of Paleopathology
M Mangané, A Almeimoune, Th M Diop, A S Dembélé, B Diallo, A Napo, Y Sogoba, Y Bomou, M Doumbia, S Koita, S I Tambassi, M D Diango
INTRODUCTION: Traditional gold washing traumatism during traditional gold panningfalls within the scope of occupational accidents, which are common pathologies in developing countries such as Mali. Our work aimed to study traumatism during traditional gold panning. MATERIAL AND METHOD: A 1-year prospective study from November 2014 to November 2015 on the cases of traumatism during traditional gold washing (TOT) admitted to the emergency room(ER) of the University Hospital Gabriel Touré during the study period...
2018: Le Mali Médical
Greg Ungerer
Classification of athletes for para sport is a complex process, and provides the necessary structure for competition. Classification systems aim to ensure that para athletes achieve sporting excellence. By minimizing the effect of the impairment on sports performance, classification systems ensure para sport is not dominated by those athletes with the least impairment, but rather athletic excellence is the key determinant of success. For athletes with cervical spinal cord injuries, assessment of manual muscle power is most commonly used as the starting point for athlete evaluation...
2018: Handbook of Clinical Neurology
Erik E Swartz
Participation in any sport activity carries risk of cervical spine trauma, but certain activities have a higher risk than others, and hence, demand concerted efforts in developing prevention strategies. Prevention often includes efforts surrounding education of stakeholders, creating or modifying rules, and specific policies adopted for decreasing such risk. Stakeholders include sport clinicians, participants, coaches, parents, league administrators, officials, and the public. Thus, both athlete-specific and setting-specific factors must be considered and controlled to the extent possible for a multipronged approach for decreasing cervical spine injury risk...
2018: Handbook of Clinical Neurology
Joseph Dadabo, Prakash Jayabalan
Traumatic cervical spine injuries represent a significant cause of morbidity and mortality in sports. Appropriate management of such injuries is critical to minimizing harm and facilitating optimal long-term recovery and outcome. Management strategies begin with emergency preparedness amongst sideline providers and extends to paramedic services and medical teams in the acute care setting. This chapter outlines the principles of treatment across the care continuum, with a primary focus on hospital-based care...
2018: Handbook of Clinical Neurology
Daniel Blatz, Brendon Ross, Joseph Dadabo
Cervical spine trauma is a relatively rare but catastrophic event in sports. These critical situations depend on sports medicine personnel understanding every aspect of sideline care to ensure a safe and successful evaluation. This involves thorough preparation, vigilant observation of the sporting event to detect the possible mechanism of injury, and initiation of the appropriate action plan when a potentially catastrophic injury is suspected. Sideline management of cervical spine trauma requires the appropriate primary survey, with spine stabilization if necessary, secondary survey for concomitant injury, and, potentially, initiation of full spine stabilization with a spine board...
2018: Handbook of Clinical Neurology
Martin Vazan, Yu-Mi Ryang, Melanie Barz, Elisabeth Török, Jens Gempt, Bernhard Meyer
BACKGROUND: In patients with ankylosing spinal diseases (ASD) including ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) even low-impact trauma can lead to complex injury. They seem to be highly unstable and associated with higher mortality rates when compared to the general spine trauma population. METHODS: We reviewed the charts of a consecutive series of 41(34 male, 7 female) patients with ASD and unstable traumatic spine injuries who were admitted to our department between 2007 and 2016...
November 23, 2018: World Neurosurgery
Luis A Robles
Spine injuries related to ocean wave accidents are little known because they exclusively occur in beach destinations. This unusual type of trauma happens when these patients are slammed or caught by a wave, rolled over, and driven into the water, usually hitting the head on the seabed. Due to the kinematics of ocean wave accidents, spine injuries occur almost exclusively in the subaxial cervical spine. Several cases of spine injuries associated with ocean wave accidents are described. These ocean bathers presented with spinal trauma in levels other than the subaxial cervical spine...
September 19, 2018: Curēus
Divya Gunda, Benjamin O Cornwell, Hisham M Dahmoush, Sammer Jazbeh, Anthony M Alleman
Infants and children under 2 years of age are at greatest risk for devastating neurologic complications following nonaccidental trauma. While a subdural hematoma (SDH) is the most common finding and is often enough to raise suspicion for abuse, no single injury is pathognomonic for abusive head trauma (AHT). Rather, the combination of imaging and physical findings and the clinical presentation help confirm the diagnosis of AHT. Familiarity with the spectrum of findings and proper identification of the imaging abnormalities is important for the radiologist to facilitate treatment and removal of the patient from the abusive environment...
November 23, 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Tonny Elmose Andersen, Hanne Ellegaard, Berit Schiøttz-Christensen, Claus Manniche
BACKGROUND: Research has almost exclusively focused on the neck in order to explain the mechanisms of persistent pain after motor vehicle collisions (MVC). However, studies have shown that low back pain after MVC is as common as neck pain. Also, posttraumatic stress disorder (PTSD) is common after MVCs, and evidence indicate that PTSD may be linked to the development of pain and disability. PTSD has even been proposed as "the missing link" for some in the development of chronic low back pain...
November 22, 2018: BMC Complementary and Alternative Medicine
Muhammad Khan, Faisal Jehan, Terence O'Keeffe, Mohammad Hamidi, Narong Kulvatunyou, Andrew Tang, Lynn Gries, Bellal Joseph
BACKGROUND: Thromboprophylaxis with oral Xa inhibitors (Xa-Inh) are recommended after major orthopedic operation; however, its role in spine trauma is not well-defined. The aim of our study was to assess the impact of Xa-Inh in spinal trauma patients managed nonoperatively. METHODS: A 4-y (2013-2016) review of the Trauma Quality Improvement Program database. We included all patients with an isolated spine trauma (Spine-abbreviated injury scale ≥3 and other-abbreviated injury scale <3) who were managed nonoperatively and received thromboprophylaxis with either low molecular weight heparin (LMWH) or Xa-Inh...
December 2018: Journal of Surgical Research
Nancy Wu, Melissa Carvalho, Obieze Nwanna-Nzewunwa, Theophile Nana, Girish Motwani, Susana Nkambeng Mbeboh, William Chendjou, Fonje Mouansie Ahmed Nour, Sabrinah Ariane Christie, Alain Chichom Mefire, Rochelle A Dicker, Catherine Juillard
BACKGROUND: Injuries are a leading cause of death and disability worldwide. Developing countries account for 90% of injury-related deaths globally. Trauma audit filters can facilitate trauma quality improvement initiatives and reduce the injury burden. Little is known about context-appropriate trauma audit filters for developing countries such as Cameroon. This study aimed to (1) develop context-appropriate trauma audit filters for the setting of a regional referral hospital in Cameroon and (2) to assess the barriers and facilitators to their implementation...
December 2018: Journal of Surgical Research
Adrian A Maung
No abstract text is available yet for this article.
December 2018: Journal of Trauma and Acute Care Surgery
Gyani Jail Singh Birua, Vishnu Singh Munda, Nagendra Nath Murmu
Aim: To find out the epidemiology of spinal injury in North East India. Material and Methods: This study is a retrospective hospital-based analysis of spine injury patients admitted to Central Referral Hospital, Sikkim Manipal University from July 2013 to June 2017July 2013 to June 2017. Results: During the study period 57 patients with spinal injury were admitted and treated. Out of the 57 patients, 46 (81%) were male and 11 (19%) were female...
October 2018: Asian Journal of Neurosurgery
Giles N Cattermole, Vincent Ndebwanimana, Noah Polzin-Rosenberg
Introduction: Laryngospasm is a partial or complete closure of the vocal cords, causing stridor and then complete airway obstruction. We present an unusual case of recurrent laryngospasm following cervical spine trauma. Case report: A 41-year-old pedestrian was hit by a car sustaining several spine fractures including a comminuted fracture of C1. These were initially unrecognised, and his cervical spine was not immobilised. During this time the patient experienced three episodes of laryngospasm requiring intubation...
March 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
U Ratnasabapathy, M Purcell, J J Bhattacharya
Introduction: Vertebro-basilar thrombosis is often lethal. We report a post-traumatic case in which logistical issues were overcome to secure prompt endovascular intervention resulting in a favourable outcome. Case presentation: We report this case to highlight (i) the need, across the United Kingdom, for rapid access to 24/7 neurointerventional services and (ii) the fact that vertebral artery injury during C-spine trauma, while not uncommon, can rarely have catastrophic complications...
2018: Spinal Cord Series and Cases
William Ngatchou, Jeanne Beirnaert, Daniel Lemogoum, Cyril Bouland, Pierre Youatou, Ahmed Sabry Ramadan, Regis Sontou, Maimouna Bol Alima, Alain Plumaker, Virginie Guimfacq, Claude Bika, Pierre Mols
Introduction: The Canadian C Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (Nexus) low criteria are well accepted as guide to help physician in case of cervical blunt trauma. Methods: We aimed to evaluate retrospectively the application of these recommendations in our emergency department. Secondly we analyzed the quality of cervical spine radiography (CSR) in an emergency setting. Results: 281 patients with cervical blunt trauma were analyzed retrospectively...
2018: Pan African Medical Journal
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