10 Questions
Which imaging technique is more reliable in assessing spine injury than plain radiographs?
CT scan
What is the recommended treatment for occipital cervical dislocation?
Stabilization and fusion in situ using a screw plate from the mid cervical spine to the occiput
What should be performed in case of spinal cord compression?
Prompt decompression
What does a Jefferson Fracture of C1 cause?
Spread of lateral masses of C1, visible on a through-the-mouth AP X-Ray image
Why should spinal cord injuries be triaged to trauma centers?
Trauma center care is associated with reduced paralysis
What is the recommended imaging technique for assessing spine injury?
CT scan
What is the recommended procedure when neurologic deficits are present in spinal cord compression?
Decompressive procedure
What type of injury can occur due to motor vehicle accidents involving the occiput and the atlas (C1)?
Occipital Cervical Dislocation
What did Jefferson describe in 1920 related to spinal fractures?
Fracture of the C1 ring
What is contraindicated for treating occipital cervical dislocation?
Traction on the spine
Study Notes
Spinal Injury Assessment
- CT scans are more reliable in assessing spine injury than plain radiographs.
Occipital Cervical Dislocation
- The recommended treatment for occipital cervical dislocation is immediate immobilization and stabilization.
Spinal Cord Compression
- In case of spinal cord compression, decompressive surgery should be performed.
- When neurologic deficits are present in spinal cord compression, the recommended procedure is surgical decompression.
Jefferson Fracture
- A Jefferson Fracture of C1 causes a burst fracture of the atlas (C1).
Triage and Treatment
- Spinal cord injuries should be triaged to trauma centers due to the high risk of severe morbidity and mortality.
- Immediate immobilization and stabilization are crucial in treating spinal cord injuries.
Imaging Techniques
- CT scans are the recommended imaging technique for assessing spine injury.
Spinal Fractures
- Jefferson described the Jefferson Fracture, a burst fracture of the atlas (C1), in 1920.
- Motor vehicle accidents involving the occiput and the atlas (C1) can cause a Jefferson Fracture.
Contraindications
- Traction is contraindicated for treating occipital cervical dislocation.
Test your knowledge on the different types of fractures of the spine and thoracic cage, as well as the assessment and management of spinal trauma. Learn about spinal stability assessment, imaging techniques, and indications for decompressive procedures.
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