Lumbar Spine Fractures Flashcards by Liam Lennox | Brainscape

Q

AETIOLOGY

Common causes

A

High energy trauma (most common)
- RTA, falls
Spontaneously in patients with osteoporosis, neoplastic or metabolic disorders of spine

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Q

AETIOLOGY

Risk factors

A

Falling
Motor vehicle crash
Osteoporosis
Underlying neoplastic lesion
Underlying metabolic or inflammatory disorder

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Q

CLINICAL FEATURES

Presentation

A

Back pain
Bruising
UMN signs

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Q

INVESTIGATIONS

First choice

A

X-ray first choice
CT if nothing found on x-ray

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Q

MANAGEMENT

General principles

A

ABCDE approach
Immobilisation
Analgesia - morphine primary option
Definitive treatment of fracture surgically or non-surgically
Percutaneous treatment (vertebroplasty) if osteoporotic origin

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Q

MANAGEMENT

Surgical treatment

A

Surgical decompression and surgical stabilisation with rods and screws

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