ATLS 10th Edition - Spine Trauma
Questions and Answers 2025
SpinalATraumaA
Cervical
Thoracic
ThoracolumbarA-ACORRECTAANSWERSA-CervicalA-A55%A
ThoracicA-A15%A
ThoracolumbarA15%
lumbosacralAareaA-A15A%
CervicalASpineAFracture:
IncidenceAofAnonAcontiguousAfractureA-ACORRECTAANSWERSA-
UpAtoA10%AofApatientsAwithAaAcervicalAspineAfractureAhaveAaAsecond,AnoncontiguousAverte
bralAcolumnAfracture.
PaediatricACervicalASpine
AnatomicalADifferencesA-ACORRECTAANSWERSA-CAspineAinjuryAisArare
C1A-AC4AinjuriesAareAtwiceAasAsoonAthanAlowerACASpineAinjuries
SpinalAshockA-ACORRECTAANSWERSA-
SpinalAshockArefersAtoAtheAflaccidityA(lossAofAmuscleAtone)AandAlossAofArelexesAthatAoccurAi
mmediatelyAafterAspinalAcordAinjury.AAfterAaAperiodAofAtime,AspasticityAensues
CentralAcordAsyndromeA-ACORRECTAANSWERSA-
1.AdisproproportionatelyAgreaterAlossAofAmotorAstrengthAinAtheAupperAextremitiesAthanAinAth
eAlowerAextremities,AwithAvaryingAdegreesAofAsensoryAloss.A
hyperextensionAinjuryAinAaApatientAwithApreexistingAcervicalAcanalAstenosis.A
TheAmechanismAisAcommonlyAthatAofAaAforwardAfallAresultingAinAaAfacialAimpact.A
withAorAwithoutAcervicalAspineAfractureAorAdislocation.A
TheAprognosisAforArecoveryAisAsomewhatAbetterAthanAwithAotherAincompeteAinjuries.A
elderly,AwhoAhaveAunderlyingAspinalAstenosisAandAsuferAaAground-levelAfall
AnteriorAcordAsyndromeA-ACORRECTAANSWERSA-anteriorApartAofAtheAcord.A
ItAisAcharacterizedAbyAparaplegiaAandAaAbilateralAlossAofApainAandAtemperatureAsensation.A
However,AsensationAfromAtheAintactAdorsalAcolumnA(i.e.,Aposition,Avibration,AandAdeepApre
ssureAsense)AisApreserved.A
ThisAsyndromeAhasAtheApoorestAprognosisAofAtheAincomplete
DueAtoAcordAischaemia
Brown-SéquardAsyndromeA-ACORRECTAANSWERSA-
hemisectionAofAtheAcord,AusuallyAdueAtoAaApenetratingAtrauma.A
AipsilateralAmotorAlossA(corticospinalAtract)AandAlossAofApositionAsenseA(dorsalAcolumn),Aas
sociatedAwithAcontralateralAlossAofApainAandAtemperatureAsensationAbeginningAoneAtoAtwoA
levelsAbelowAtheAlevelAofAinjuryA(spino-thalamicAtract).A
EvenAwhenAtheAsyndromeAisAcausedAbyAaAdirectApenetratingAinjuryAtoAtheAcord,AsomeAreco
veryAisAusuallyAachieved.
CorticospinalATract
LocationA-ACORRECTAANSWERSA-AnteriorAandAlateralAsegmentsAofAtheAcord
Questions and Answers 2025
SpinalATraumaA
Cervical
Thoracic
ThoracolumbarA-ACORRECTAANSWERSA-CervicalA-A55%A
ThoracicA-A15%A
ThoracolumbarA15%
lumbosacralAareaA-A15A%
CervicalASpineAFracture:
IncidenceAofAnonAcontiguousAfractureA-ACORRECTAANSWERSA-
UpAtoA10%AofApatientsAwithAaAcervicalAspineAfractureAhaveAaAsecond,AnoncontiguousAverte
bralAcolumnAfracture.
PaediatricACervicalASpine
AnatomicalADifferencesA-ACORRECTAANSWERSA-CAspineAinjuryAisArare
C1A-AC4AinjuriesAareAtwiceAasAsoonAthanAlowerACASpineAinjuries
SpinalAshockA-ACORRECTAANSWERSA-
SpinalAshockArefersAtoAtheAflaccidityA(lossAofAmuscleAtone)AandAlossAofArelexesAthatAoccurAi
mmediatelyAafterAspinalAcordAinjury.AAfterAaAperiodAofAtime,AspasticityAensues
CentralAcordAsyndromeA-ACORRECTAANSWERSA-
1.AdisproproportionatelyAgreaterAlossAofAmotorAstrengthAinAtheAupperAextremitiesAthanAinAth
eAlowerAextremities,AwithAvaryingAdegreesAofAsensoryAloss.A
hyperextensionAinjuryAinAaApatientAwithApreexistingAcervicalAcanalAstenosis.A
TheAmechanismAisAcommonlyAthatAofAaAforwardAfallAresultingAinAaAfacialAimpact.A
withAorAwithoutAcervicalAspineAfractureAorAdislocation.A
TheAprognosisAforArecoveryAisAsomewhatAbetterAthanAwithAotherAincompeteAinjuries.A
elderly,AwhoAhaveAunderlyingAspinalAstenosisAandAsuferAaAground-levelAfall
AnteriorAcordAsyndromeA-ACORRECTAANSWERSA-anteriorApartAofAtheAcord.A
ItAisAcharacterizedAbyAparaplegiaAandAaAbilateralAlossAofApainAandAtemperatureAsensation.A
However,AsensationAfromAtheAintactAdorsalAcolumnA(i.e.,Aposition,Avibration,AandAdeepApre
ssureAsense)AisApreserved.A
ThisAsyndromeAhasAtheApoorestAprognosisAofAtheAincomplete
DueAtoAcordAischaemia
Brown-SéquardAsyndromeA-ACORRECTAANSWERSA-
hemisectionAofAtheAcord,AusuallyAdueAtoAaApenetratingAtrauma.A
AipsilateralAmotorAlossA(corticospinalAtract)AandAlossAofApositionAsenseA(dorsalAcolumn),Aas
sociatedAwithAcontralateralAlossAofApainAandAtemperatureAsensationAbeginningAoneAtoAtwoA
levelsAbelowAtheAlevelAofAinjuryA(spino-thalamicAtract).A
EvenAwhenAtheAsyndromeAisAcausedAbyAaAdirectApenetratingAinjuryAtoAtheAcord,AsomeAreco
veryAisAusuallyAachieved.
CorticospinalATract
LocationA-ACORRECTAANSWERSA-AnteriorAandAlateralAsegmentsAofAtheAcord