SPINE FRACTURES

MANAGEMENT OF SPINE FRACTURES

Radiographs

  • Good quality AP radiographs are necessary to visualize the posterior elements;
  • Ensure that appropriate radiographs have been taken to rule out other concomitant injuries (such as pelvic frx);

CT scan:

  • Allows assessment of canal compromise

Initial Managment:

  • Gen management of spine injured patient
  • Neurologic injury steroids may be indicated
  • It’s essential that the patient be log rolled off the trauma board as soon as possible (in order to avoid devastating pressure ulceration);

Nonoperative

  • Bracing with a thoracolumbosacral orthosis

Operative

  • Surgical decompression & spinal stabilization – Pedicle screw fixation
  • Indications
    • neurologic deficits with radiographic evidence of cord/thecal sac compression
    • both complete and incomplete spinal cord injuries require decompresssion and stabilization to facilitate rehabilitation