ATLS 10th Edition - Spine Trauma Exam Questions and Answers 100% Accurate
Cervical Spine Fracture: Incidence of non contiguous fracture - ANSWER-Up to 10% of patients with a cervical spine fracture have a second, noncontiguous vertebral column fracture. Paediatric Cervical Spine Anatomical Differences - ANSWER-C spine injury is rare C1 - C4 injuries are twice as soon than lower C Spine injuries Spinal shock - ANSWER-Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that occur immediately after spinal cord injury. After a period of time, spasticity ensues Central cord syndrome - ANSWER-1. disproproportionately greater loss of motor strength in the upper extremities than in the lower extremities, with varying degrees of sensory loss. hyperextension injury in a patient with preexisting cervical canal stenosis. The mechanism is commonly that of a forward fall resulting in a facial impact. with or without cervical spine fracture or dislocation. The prognosis for recovery is somewhat better than with other incompete injuries. elderly, who have underlying spinal stenosis and sufer a ground-level fall Anterior cord syndrome - ANSWER-anterior part of the cord. It is characterized by paraplegia and a bilateral loss of pain and temperature sensation. However, sensation from the intact dorsal column (i.e., position, vibration, and deep pressure sense) is preserved. This syndrome has the poorest prognosis of the incomplete Due to cord ischaemia Brown-Séquard syndrome - ANSWER-hemisection of the cord, usually due to a penetrating trauma. ipsilateral motor loss (corticospinal tract) and loss of position sense (dorsal column), associated with contralateral loss of pain and temperature sensation beginning one to two levels below the level of injury (spino-thalamic tract). Even when the syndrome is caused by a direct penetrating injury to the cord, some recovery is usually achieved. Corticospinal Tract Location - ANSWER-Anterior and lateral segments of the cord Motor Spinothalamic Tract - ANSWER-Anterolateral aspect of cord Pain and temperature Dorsal columns - ANSWER-Posteromedial aspect of the cord Proprioception, vibration, light touch
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