Spine and Spinal cord injury - Mahidol University

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• Etiology - Motor vehicle accidents & Road traffic accidents. - Falls (greater than 10 feet) - Sports-related injuries - Recreational injuries - Violent crimes
Primary and secondary tissue damage • Primary injury: mechanical disruption of axons as a result of stretch or laceration. • Secondary injury: free radical formation, uncontrolled calcium influx, ischemia & lipid peroxidation, and apoptosis.
Page 1 and 2: Spine and Spinal cord injury Akkapo
Page 3: • Level of spinal injury 55 % cer
Page 7 and 8: Prehospital management Immobilizati
Page 9 and 10: • Log-rolling techniques during e
Page 11 and 12: • Immobilization and transportati
Page 13 and 14: Emergency room and acute management
Page 15 and 16: • Nasal vs. Oral - controversy de
Page 17 and 18: Neurogenic shock • Impairment of
Page 19 and 20: Findings associated with spinal inj
Page 21: • Key muscle groups C5 = Elbow fl
Page 25 and 26: Completeness • Complete (ASIA gra
Page 27 and 28: Spinal shock • “ .. All phenome
Page 29 and 30: Spinal shock • Return of the Bulb
Page 31 and 32: Central cord syndrome • First des
Page 33 and 34: Anterior cord syndrome • Patients
Page 35 and 36: Conus medullaris syndrome • Typic
Page 37 and 38: Bell’s cruciate paralysis • Fir
Page 39 and 40: Radiographic evaluation cervical sp
Page 44 and 45: CT scan • Delineate bony anatomy
Page 46 and 47: Lateral flexion/extension • If th
Page 48 and 49: Radiographic evaluation thoracic an
Page 50 and 51: Prognostic factors for recovery •
Page 52: Occipito-Cervical Dislocation HIGH
Page 55 and 56:
• 30 yrs old female • Motor veh
Page 57:
Closed reduction
Page 61 and 62:
Atlantoaxial dislocation
Page 63 and 64:
C1 lateral mass & C2 pedicle screws
Page 65:
Subaxial (C3-C7) Cervical spine inj
Page 69 and 70:
Research • Two categories 1. Agen
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