Traumatic spine conditions Flashcards
adult spinal cord ends at level of the ___ and __. Injuries below this level has (better/worse) prognosis?
L1 and L2, Better
bprders of the vertebra
floor,walls,roof,decorations
rule of spinal injuries
Neurologic involvement
head on collision injury mechanism
Flexion
Hyper extension,anterior and posterior ligament breakage
rear end collision,whiplash effect
axial compression / axial loading are commonly seen where?
diving accidents
vertebra becomes comminuted where some fragment can go inside spinal canal
Burst fracture
often occurs after hyperextension injury where upper weakness is more pronounced than LE weakness. Sacral sparing is observed
Central cord syndrome
manifests as a complete bilateral motor paralysis and sensory anesthesia
Anterior cord - Worst prognosis
Brown-sequard syndrome is charcterized by (describe motor,light touch,and pain and temperature deficits if any)
ipsilateral motor and light touch loss,contralateral pain and temperature loss
results in immediate flaccid paralysis and loss of sensation below the level of the lesion
total cord transection
Visualize bony fragments insde the spinal canal which can compress the cord
CT SCAN
To see spinal cord and roots properly
MRI