Podcast
Questions and Answers
What structures are included in the middle column of the spinal cord according to Holdsworth?
What structures are included in the middle column of the spinal cord according to Holdsworth?
- Posterior longitudinal ligament (correct)
- Posterior wall of the vertebral body
- Anterior vertebral body
- Posterior ligamentous complex
Which type of mechanical insult can lead to primary spinal cord injury?
Which type of mechanical insult can lead to primary spinal cord injury?
- Stretching
- Rapid compression due to bone displacement from burst (correct)
- Bending
- Twisting
What is the final pathway to neuron death in secondary spinal cord injury?
What is the final pathway to neuron death in secondary spinal cord injury?
- Electrolyte shifts
- Free radical production
- Cell necrosis with structural dissolution (correct)
- Inflammatory cascade
Which factor contributes to reducing secondary spinal cord injury?
Which factor contributes to reducing secondary spinal cord injury?
In the context of spinal cord injury, what is the role of steroids according to NASCIS-2 and NASCIS-3?
In the context of spinal cord injury, what is the role of steroids according to NASCIS-2 and NASCIS-3?
What timeframe is recommended for surgical decompression following a spinal cord injury?
What timeframe is recommended for surgical decompression following a spinal cord injury?
What is the typical duration of spinal shock following an injury?
What is the typical duration of spinal shock following an injury?
How is the neurological level of injury defined?
How is the neurological level of injury defined?
When can an injury be considered complete?
When can an injury be considered complete?
What is the purpose of the Zone of Partial Preservation in spinal cord injury classification?
What is the purpose of the Zone of Partial Preservation in spinal cord injury classification?
Which organization developed the standards for neurological and functional classification of spinal cord injuries in 1992?
Which organization developed the standards for neurological and functional classification of spinal cord injuries in 1992?
Which of the following is a common symptom associated with spinal shock?
Which of the following is a common symptom associated with spinal shock?
Which reflex is used to check for anal contraction in the context of spinal shock?
Which reflex is used to check for anal contraction in the context of spinal shock?
Which grade on the MRC scale indicates complete paralysis?
Which grade on the MRC scale indicates complete paralysis?
What is a significant indicator of spinal shock when testing for the Bulbocavernosus reflex?
What is a significant indicator of spinal shock when testing for the Bulbocavernosus reflex?
Which of the following is a common feature of spinal clues often associated with spinal cord injury?
Which of the following is a common feature of spinal clues often associated with spinal cord injury?
What is the purpose of checking for sacral sparing in a neurological examination?
What is the purpose of checking for sacral sparing in a neurological examination?
What is the recommended imaging study for patients who fail attempts at closed reduction?
What is the recommended imaging study for patients who fail attempts at closed reduction?
In patients with cervical fracture dislocation injury, what can a prereduction MRI show?
In patients with cervical fracture dislocation injury, what can a prereduction MRI show?
Which age group is included in the Steroids INCLUSION CRITERIA for spinal cord injury?
Which age group is included in the Steroids INCLUSION CRITERIA for spinal cord injury?
What is an EXCLUSION CRITERIA for receiving steroids in spinal cord injury?
What is an EXCLUSION CRITERIA for receiving steroids in spinal cord injury?
Which RCT showed improvement with Methylprednisolone administration in spinal cord injury within the first 8 hours?
Which RCT showed improvement with Methylprednisolone administration in spinal cord injury within the first 8 hours?
What does the ASIA Impairment Scale grade C indicate?
What does the ASIA Impairment Scale grade C indicate?
What percentage of cases are classified as ASIA Impairment Scale grade E?
What percentage of cases are classified as ASIA Impairment Scale grade E?
What is measured by the Functional Independence Measure (FIM)?
What is measured by the Functional Independence Measure (FIM)?
In C-spine imaging, what does a combined lateral mass displacement over 7mm in the Open Mouth (Dens) View suggest?
In C-spine imaging, what does a combined lateral mass displacement over 7mm in the Open Mouth (Dens) View suggest?
What scenario would benefit from CT scan imaging in C-spine evaluation?
What scenario would benefit from CT scan imaging in C-spine evaluation?
What can be missed if not assessed adequately using plain films in C-spine imaging?
What can be missed if not assessed adequately using plain films in C-spine imaging?
