20 Spinal trauma Flashcards

1
Q

Where is the conus medullaris?

A

T12 to L1

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2
Q

Which spinal tract transmits pain and temperature?

A

spinothalamic

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3
Q

Where would you experience referred liver and gallbladder pain?

A

right shoulder

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4
Q

Where would you experience referred heart pain?

A

inner left arm

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5
Q

Where would you experience referred lung and diaphragm pain?

A

neck and left shoulder

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6
Q

Where might you experience urinary bladder referred pain?

A

coccyx and superior posterior thighs

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7
Q

Where might you experience stomach referred pain?

A

interscapular region

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8
Q

What are the hip flexors innervated by?

What are the hip extensors innervated by?

A

L2, L3 (swing the tree)

L4,L5

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9
Q

What are the knee extensors innervated by?

What are the knee flexors innervated by?

A

L3, L4 (kick the door)

L5, S1

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10
Q

What would happen in neural compression about C4?

A

loss of ventilation

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11
Q

What would happen in neural compression at C5?

A

quadriplegia

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12
Q

What would happen in neural compression from C5-T1

A

decreasing arm function

think brachial plexus

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13
Q

What would happen in neural compression from T1-L1?

A

paraplegia (legs)

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14
Q

What would happen in neural compression from L2-L5?

A

decreasing leg function

think Lumbar plexus

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15
Q

What would happen in neural compression from L5 and below?

A

impaired sphincter and sexual function

foot and ankle weakness

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16
Q

What would an initial assessment of a spinal injury look like?

A

ATLS protocol
Airway and C-spine control
Breathing
Circulation

17
Q

How to approach spinal radiographs…?

A

A - alignment
B - bony abnormality
C - contours and cartilage
D - disc spaces

18
Q

What is the policy with ankylosing spondylitis trauma patients?

A

A patient with ankylosing spondylitis with a history of trauma and spinal pain has a fracture until proven otherwise

19
Q

What does Denis’ 3 column principle of stability dictate?

A

if 2 of the 3 column’s are disrupted then the spine is unstable

20
Q

When might a wedge compression fracture be unstable?

A

faling of anterior column
50% loss of height
30 degree kyphosis

21
Q

When might a flexion distraction fracture be caused?

A

chance or seatbelt fracture

22
Q

What is a flexion distraction fracture and how is it treated?

A

facet joint dislocation

reduction and surgical fusion

23
Q

What is a burst fracture?

A

high power fracture, shards of vertebrae

24
Q

What might a fractue dislocation be accompanied by?

A

rotation

shear

25
Q

What are some secondary causes of SCI?

A

hypotension
hypoxia
oedema
ischaemia

26
Q

What should be taken into consideration with spinal surgery?

A

deteriorating neurology
stable neuroogy
mechanical stability