SCI Flashcards
Most common cause of death in SCI
PNEUMONIA
MOST COMMON LEVEL OF SCI INJURY
C5
PREDICTORS OF MORTALITY IN SCI
MALE, ELDERLY, MEDICARE OR MEDICAID, LOW INCOME, POOR COMMUNITY INTEGRATION, CERVICAL INJURY, MV, COMPLETE INJURY, INJURY BY VIOLENCE
WHICH TRACT OF THE SPINAL CORD CROSSES AT THE CORD?
LATERAL SPINOTHALAMIC- PAIN AND TEMPERATURE
ARTERY OF ADAMKIEWICZ
MAJOR BLOOD SUPPLY TO THE LUMBOSACRAL SPINE. ARISES FROM T9-L3.
CORD WATERSHED AREA
T4-T6
MOST COMMON LEVEL FOR COMPRESSION FRACTURE
C5
UNILATERAL FACET DISLOCATION
MECHANISM? MOST COMMON LEVEL? WHAT MAKES IT UNSTABLE?
CERVICAL/ FLEXION ROTATION. C5-C6. UNSTABLE IF PLL INVOLVEMENT
BILATERAL FACET JOINT DISLOCATION
> 50% VERTEBRAL BODY DISPLACEMENT. MECHANISM: FLEXION. MOST COMMON LEVEL: C5-C6. MORE LIKELY TO BE COMPLETE INJURY.
POOR PREDICTORS FOR RECOVERY OF TRANSVERSE MYELITIS
RAPID PROGRESSION, BACK PAIN AND SPINAL SHOCK
MOST COMMON LEVEL FOR HYPEREXTENSION INJURY
C4-C5
MOST COMMON SPINAL CORD MET AND PRIMARY TUMOR OF SPINAL CORD.
CLINICAL PRESENTATION
MOST COMMON PRIMARY TUMOR ARE EPENDYMOMA AND ASTROCYTOMA.
MET: LUNG, BREAST AND PROSTATE.
PRESENT WITH PAIN.
MOST RESTRICTIVE REMOVABLE CERVICAL BRACE
MINERVA
JEFFERSON FRACTURE
USUALLY STABLE C1 BURST FRACTURE. IF STABLE: HALO. IF UNSTABLE: SURGERY
HANGMANS FRACTURE
C2 BURST FRACTURE
ODONTOID FRACTURE TYPE1-3
TYPE 1: THROUGH THE TIP OF THE DENS
TYPE 2: MOST COMMON. TROUGH THE BASE
TYPE 3: EXTENDS TO THE BODY OF C2.
CHANCE FRACTURE
USUALLY AFTER HYPERFLEXION AND AFFECTS T12, L1 AND L2
PREDISPOSING FACTORS FOR SCIWORA
LARGE HEAD TO NECK RATIO. ELASTICITY OF FIBROCARTILOGINOUS SPINE. HORIZONTAL ORIENTATION OF CERVICAL FACETS.
ASIA SENSORY LEVEL AND MOTOR LEVEL OF INJURY
SENSORY: MOST CAUDAL DERMATOME WITH NORMAL SENSATION IN BOTH SIDES. MOTOR: MOST CAUDAL >3/5 WITH ALL THE SEGMENTS ABOVE 5/5. MOTOR LEVEL CAN DE DETERMINED FOR EACH SIDE.
ASIA B
MOTOR COMPLETE. HAS SENSATION
CENTRAL CORD SYNDROME
MOST COMMON INCOMPLETE SCI. AFFECTS UEx>LEx ASSOCIATED WITH SPONDYLOLISIS AND HYPEREXTENSION. GOOD PROGNOSIS IF YOUNGER THAN 50.
AD MANAGEMENT DURING DELIVERY
SPINAL ANESTHESIA
HO IN SCI. ONSET? MOST COMMON LOCATION? ALP PEAK?
ONSET 1-4 MONTHS. MOST COMMON LOCATION HIP. ALP PEAKS AT 10 WEEKS AFTER HO DEVELOPED.
DVT IN SCI. ONSET? GOLD STANDARD STUDY? PROPHYLAXIS?
MOST COMMON AT 2 WEEKS, INCIDENCE DECREASES AFTER 8-12 WEEKS. VENOGRAM IS THE GOLD STANDARD FOR DIAGNOSIS. PROPHYLAXIS IF INCOMPLETE AND AMBULATING- UNTIL DISCHARGE. COMPLETE AND UNCOMPLICATED- 8 WEEKS. COMPLETE AND COMPLICATED 12 WEEKS OF AT DISCHARGE IF MORE THAN 12 WEEKS.
