SPINAL INJURIES Anatomy three column concept log rolling investigation treatment

Spinal injuries concentrating mainly on thoracic and lumbar spine

1. SPINAL INJURIES

2. 33YR MALE FALL FROM HEIGHT C/O LOW BACK ACHE NO H/O LOC / VOMITING / SEIZURE / ENT BLEED O/E CONSCIOUS , ORIENTED CHEST COMPRESSION / PELVIC COMPRESSION NEGATIVE POWER 5/5

3. ANATOMY 33 VERTEBRA ANTERIOR BODY AND POSTERIOR NEURAL ARCH STRONG CUSHION – INTERVERTEBRAL DISC

4. ARTICULATION ANTERIOR LONGITUDINAL LIGAMENT POSTERIOR LONGITUDINAL LIGAMENT FACET JOINT LIGAMENTUM FLAVUM INTERSPINOUS LIGAMENT

5. MODE OF INJURY FALL FROM HEIGHT RTA FALL OF HEAVY OBJECT ON BACK

6. THREE COLUMN CONCEPT ANTERIOR COLUMN MIDDLE COLUMN POSTERIOR COLUMN STABLE / UNSTABLE INJURIES

7. CLASSIFICATION BASED ON MECHANISM OF INJURY FLEXION INJURY THORACOLUMBAR WEDGE COMPRESSION # STABLE INJURIES IF LESS THAN 50% OF POSTERIOR HEIGHT

8. FLEXION ROTATION FRACTURE DISLOCATION UNSTABLE INJURY

9. VERTICAL COMPRESSION BURST # UNSTABLE INJURY

10. EXTENSION INJURY COMMON IN CERVICAL SPINE CHIP # OF ANTERIOR RIM OF VERTEBRA

11. FLEXION DISTRACTION SEAT BELT INJURY HORIZONTAL # EXTENDING TO POSTERIOR ELEMENTS CHANCE # UNSTABLE INJURY

12. CLINICAL FEATURES PAIN IN THE BACK NEUROLOGICAL DEFICIT

13. EXAMINATION FINDINGS GENERAL EXAMINATION NEUROLOGICAL EXAMINATION EXAMINATION SPINE

14. INVESTIGATIONS XRAY

15. CT

16. MRI

17. TREATMENT - ON FIELD

18. THANK YOU