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SPINE(K), FICS
In U.S. : 11,200
– Death before hospital : 4,200
– Death in hospital : 1,150
– Survive : 50%
THORACAL VERTEBRA
• Trauma Not so often
• Trauma • Complete paralysis
• Irreversible
VERTEBRAE LUMBAL :
• The most cases fracture T 12- L1
• Paraparese Paraplegi
NEUROLOGIC DISTURBANCES :
• Compression of the spinal cord
• Disruption of the vascularization
PYELONEPHRITIS
SPINAL SHOCK
• Paralysis + sensibility disturbances
• Areflexia
• Micturation and defication disturbances
• Unsweating
• No perianal sensation
• No Bulbocavernous reflex
• Lasting < 24 hours
INCOMPLETE LESION
• Paralysis : Total
• Sensibility (-)
• Bulbocavernous reflex (+)
• Plantar moving big-toe – stimulation: slowly
• Priapismus
1. Operation : Unstable
• Neurologic deficit
• Kyphosis > 30o (thoraco-lumbal),
cervical > 11o
• Translation vertebrae / Dislocation
• 2 columns fracture
• Vertebrae body height collapse > 50%
• Protrusion to spinal canal > 30%
2. Conservative
• Bed rest
• Traction
• Collar brace
• Minerva cast (cervical)
• Body jacket brace / cast (thoraco-lumbal)
• Hemi-spica cast (> L3)
If must be operated,
but not to be operated :
• Painful
• Hyper kyphosis