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Neurosurgeon Mumtaz Ali Narejo

Spine injury management according to atls guidelines

Health & Medicine
1 of 23
SPINE INJURY DR.MUMTAZ ALI NAREJO CONSULTANT NEUROSURGEON
OUTLINES • Introduction • Anatomy & Physiology • Documentation • Specific types • Radiographic evaluation • Management
Introduction • Multiple injuries • 5% brain injuries • 25% spinal injuries • 55% C-spine • 15% thoracic • 15% thoracolumbar • 15% Lumbosacral • 10% c-spine fracture have 2nd fracture • Ischemia & edema • Spine board • Restrict manipulation & motion
ANATOMY & PHYSIOLOGY
EFFECTS OF SPINE INJURY • respiratory failure • Hypoventilation Lower cervical upper thoracic spine intercostal muscles C3-5=diaphragm • Inability to perceive pain
DOCUMENTATION • Level • Bony • Neurological • Sensory • motor • Incomplete Vs complete • Anterior vs Posterior cord • Central vs brown sequard • Cauda equina vs Conus medullaris • SCIWORA • Fractures & fracture dislocation
SPECIFIC TYPES OF SPINAL INJURIES • Cervical • Thoracic • Thoracolumbar • Lumbar • Penetrating • Blunt
GENERAL MANAGEMENT • Spinal motion restriction • Log-Roll • fluids • Steroids • Vasopresor • DVT • Transfer
Refrences • ATLS student course manual 10th edition • Greenberg Handbook of Neurosurgery 10th edition • Google
THANKS

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Spine injury according to atls by dr mumtaz ali narejo.pptx

  • 1. SPINE INJURY DR.MUMTAZ ALI NAREJO CONSULTANT NEUROSURGEON
  • 2. OUTLINES • Introduction • Anatomy & Physiology • Documentation • Specific types • Radiographic evaluation • Management
  • 3. Introduction • Multiple injuries • 5% brain injuries • 25% spinal injuries • 55% C-spine • 15% thoracic • 15% thoracolumbar • 15% Lumbosacral • 10% c-spine fracture have 2nd fracture • Ischemia & edema • Spine board • Restrict manipulation & motion
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  • 13. EFFECTS OF SPINE INJURY • respiratory failure • Hypoventilation Lower cervical upper thoracic spine intercostal muscles C3-5=diaphragm • Inability to perceive pain
  • 14.
  • 15. DOCUMENTATION • Level • Bony • Neurological • Sensory • motor • Incomplete Vs complete • Anterior vs Posterior cord • Central vs brown sequard • Cauda equina vs Conus medullaris • SCIWORA • Fractures & fracture dislocation
  • 16.
  • 17. SPECIFIC TYPES OF SPINAL INJURIES • Cervical • Thoracic • Thoracolumbar • Lumbar • Penetrating • Blunt
  • 18.
  • 19. GENERAL MANAGEMENT • Spinal motion restriction • Log-Roll • fluids • Steroids • Vasopresor • DVT • Transfer
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  • 22. Refrences • ATLS student course manual 10th edition • Greenberg Handbook of Neurosurgery 10th edition • Google