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Universitat Autónoma de Barcelona, Spain
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Morphology of injury Compression 1 Burst 2 Translation 3 Distraction 4 PLC integrity Intact 0 Suspected 2 Injured 3 Neurological status Intact 0 Nerve injury 2 Complete
Clínica Universidad de los Andes, Santiago, Chile
Universidad Andrés Bello, Hospital del Trabajador, Facultad de Medicina, Santiago, Chile
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Sanatorio Güemes, Buenos Aires, Argentina
Hospital General de Agudos Dr. Teodoro Álvarez, Buenos Aires, Argentina
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Spine Unit, Department of Traumatology, Clínica Alemana, Santiago, Chile
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Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany
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displacement, deformity, and even neurological impairment ( 4 ). The isolated facet joint injury, i.e. without associated injury of the vertebral body, disc, and/or tension bands (discoligamentous structures), is an infrequent condition, representing 6% of
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Glasgow Coma Scale) No focal neurological deficit No painful distracting injuries Both of these clinical decision rules have shown a good sensitivity in the range of 90% to 100% in several large prospective cross-sectional studies. In
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reflected head of the rectus femoris. 3 , 8 Active muscle examination may reveal reduced power with knee extension and hip flexion in the injured limb. Careful clinical examination for additional muscular injuries and neurological compromise is
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Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, UK
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Background During a blunt trauma, the cervical spine (C-spine) is injured with a 3.7% prevalence. 1 A C-spine injury can result in serious neurological impairment leading to disability and poor health-related quality of life (HRQL
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neurological injury. Diagnosis The knee dislocation may be associated with fractures, and plain radiographs should be supplemented with computed tomography (CT) where indicated. Magnetic resonance imaging (MRI) is indicated in all multi
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be indicated in case of traumatic lumbosacral dislocation which is a very rare injury. It serves to assess the L5/S1 disc looking for different disc lesions notably a compressive extruded disc that may cause neurological symptoms (radiculalgia
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dislocation Assess fully for neurological deficit prior to reduction. Perform reduction within 12 hrs of injury. 25 Scapular ORIF The use of inter-muscular windows in the Judet approach. 26 Shoulder stabilization Radial
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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the sacral ala lateral to the foramina, zone II the foramina and zone III the sacral canal medial to the neural foramina ( Fig. 2 ). Zone I fractures (most common location for low-energy fractures) 24 have a 6% risk of neurologic injury (L5
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implants, perioperative care, safer anaesthesia, invention of cell saver, etc. Unfortunately, with more extensive surgeries, the intraoperative risk of spinal cord injury increases. This neurologic injury may occur due to direct mechanical force applied to
