Scribd Logo
Upload

Welcome to Scribd!

  • Chap 12

    Uploaded by

    Thikimquyên Phạm
    6 views30 pages
    chiropractic

    Original Title

    chap 12

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    chiropractic

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    6 views30 pages

    Chap 12

    Uploaded by

    Thikimquyên Phạm
    chiropractic

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 30
    12 Chiropractic Management of Spinal Fractures. and Dislocations DAVID J. ROWE Successful ehitopracic manegement of spinal factres and dsieations is dependenton the proper pretreatment ‘evaluation ofthe injury, treatnent repimes which are bio- ‘mechanically sound and eeral when necessary ‘Although up to 9% of presenting patients may have ‘compression fractures (I), the protocols for management ‘ofboth chroni and acute lesons remain illdefined due to the fac that relatively litle documentation exists regarding chiropractic management. However, the few Feported cases (2) provide & promising foundation for Fate work i his ara, Inthe attempt to ad an injured individual, the doctor ‘must take heed of the Hipperatic oath: “Primum non focere™ (above all doth paint no harm). tis with this perspective thatthe author wll expire the existing body Bt knowledge of spinal fractures and dislocations, while ‘Seveloping rationale for chitopactc cae ofthese often ‘isabling disorder. Given the risks of adjusting patients ‘with fractures oF dislocations. more extensive invesipa- tion is often required (eg, MRI, CT, tomography) in managing these cases. Before beginning treatment, the ‘doctor must always evalvate thee sill and experience to ‘etermine if hey ate capable of managing these types of disorders Fractures have been organized inthis chapter accord- ing 10 anatomical repions with an emphasis on their iajr injury vectors an eff to encourage te ciro- practor to think in mechanistic terms when analyzing froumatic injuries and in creating logical strategies for their treatment. Case studies, when availabe, have been provided to llustrate the chiropractic management ofp hl fsctures and dislocations. The practioner must keep {in mind that every patient should be evaluated individ wally and any treatment coune dependent upon the spe cic indings and potential ists ofthat particular cas. "The scarcity of published reports necessitates a more {nensve profesional partcgation in exploring and doe. ‘Umenting the chiropractic option for the teatment of spinal Fractures and dislocations. Through the accumu- Jaton of published reports of successes and flues, this small database can be expanded “The foremost concer in ealuatng the patient with @ potentially devastating lesion resolving the stability ste {us of the injury, since that isthe determining salty factr. ‘SPINAL STABILITY ‘According to White and Panjabi (3), spinal stability is ‘efned as that situation where a spine placed unde nor- tal phyiologic load is able to resist further postional

    You might also like