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thoracoabdominal CT with contrast is required for every polytrauma patient. CT scan at spine and pelvic levels may reveal lumbar and sacral compromise such as fractures and/or dislocations and is useful to analyze the various fractures’ displacements. MRI might
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Universitat Autónoma de Barcelona, Spain
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neurologically intact. Thoracolumbar fractures in polytrauma There is controversy regarding the appropriate timing of surgical stabilisation of thoracolumbar spine injuries in severely injured patients. A 2011 systematic review showed that polytrauma
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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should exist, especially when the clinician faces a high-energy comminuted diaphyseal fracture with associated knee and/or patella fractures or with some other distracting severe injuries in the polytrauma setting. In the literature, up to 57% of FN