Epidemiology of Thoracolumbar Spine Injury in Blunt Trauma

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Evaluation of spine injury in blunt trauma.

Although prehospital trauma guidelines call for spine immobilization for many trauma victims, there is a lack of clarity in medical institutions as to how trauma or emergency medicine physicians should proceed to remove cervical immobilization devices (CIDs) and "clear" the spine. Despite wide variations in physicians' approaches to such matters, however, certain specific aspects of vertebral a...

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BACKGROUND Contemporary understanding of the biomechanics, natural history, and methods of treating thoracolumbar spine injuries continues to evolve. Current classification schemes of these injuries, however, can be either too simplified or overly complex for clinical use. METHODS The Spine Trauma Group was given a survey to identify similarities in treatment algorithms for common thoracolumb...

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Thoracolumbar spine trauma typically occurs when high-energy forces damage bony and ligamentous spinal structures and, in severe cases, the spinal cord. These injuries often cause considerable neurological deficits as a result of the damage. Computed tomography (CT) is the imaging method of choice for determining injury severity in most victims of multiple trauma. In addition to describing vari...

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Thoracolumbar Spine Trauma: II. Principles of Management.

The care of patients with thoracolumbar spine trauma with or without neurologic deficits has evolved dramatically over the past 20 years with the emergence of tertiary-care spinal injury centers and the development of more effective spinal instrumentation and anesthesia techniques. Despite these advances, the majority of patients with thoracolumbar injuries are still treated nonoperatively with...

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Thoracolumbar spine trauma: review of the evidence.

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ژورنال

عنوان ژورنال: Academic Emergency Medicine

سال: 2001

ISSN: 1069-6563,1553-2712

DOI: 10.1111/j.1553-2712.2001.tb01146.x