Medical Management of Acute spinal cord Injuries

1. Declaimer

2. Medical Management of Spinal Cord Injuries
Dr. Deepak Anap
Associate Professor

4. OBJECTIVES
• At the end of lecture student should be able to explain early medical
management of spinal cord injury patients

5. At the Site…………….
• Improper handling can cause further damage and loss of functioning
• Always assume there is a spinal cord injury until it is ruled out
• Immobilize
• Prevent flexion, rotation or extension of neck
• Avoid twisting patient

6. Log Rolling

8.  Emergency treatment

9. • Methylprednisolone
The National Acute Spinal Cord Injury Studies (NASCIS) II and III, a Cochrane Database of
Systematic Reviews article of all randomized clinical trials,and other published reports,
have verified significant improvement in motor function and sensation in patients with
complete or incomplete spinal cord injuries (SCIs) who were treated with high doses of
methylprednisolone within 8 hours of injury.
Drug Therapy

10. Fracture Stabilization
• With reduction, the spine is realigned
through the application of a skeletal traction
devise (such as Gardner-Wells tongs,
Minerva vest, Halo traction) or Soft and
hard collars.

11. Minerva Cervical Orthosis Halo Orthosis Thoraco Lumbar Orthosis

12. • Patients With thoracic or Lumbar
injuries managed conservatively
Require positions in rotating beds.