Blunt neck trauma: Difference between revisions
No edit summary |
|||
| Line 5: | Line 5: | ||
*Penetrating injury rarely results in unstable fracture | *Penetrating injury rarely results in unstable fracture | ||
== | ==Differential Diagnosis== | ||
{{Cervical spine injuries}} | {{Cervical spine injuries}} | ||
== | ===[[Vertebral and Carotid Artery Dissection]]=== | ||
==Workup== | ==Workup== | ||
| Line 15: | Line 14: | ||
==Management== | ==Management== | ||
*Prehospital | *Prehospital | ||
**See the [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]] | |||
*Hospital | |||
**See specific diagnosis | |||
==See Also== | ==See Also== | ||
Revision as of 08:06, 27 January 2015
Background
- Suspect vascular damage to cord if discrepancy between neuro deficit and level of spinal column injury
- Cord injury is more likely if anterior (vertebral bodies) AND posterior (spinal canal) columns are disrupted
- Penetrating injury rarely results in unstable fracture
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Vertebral and Carotid Artery Dissection
Workup
- If find injury consider CT C-spine, x-ray rest of spine
Management
- Prehospital
- Hospital
- See specific diagnosis
See Also
- Penetrating neck trauma
- Spinal Cord Trauma
- Spinal Cord Compression (Non-Traumatic)
- Neurogenic Shock
- C-spine (NEXUS)
- C-Spine X-Ray
- Fractures (Main)
- Unstable spine fractures
- C-Spine (Canadian Rule)
- Vertebral fractures
Source
- National Spinal Cord Injury Statistical Center (NSCISC). Spinal Cord Injury. Facts and Figures at a Glance. Birmingham, Ala: NSCISC; July 1996
- Ivy ME, Cohn SM. Addressing the myths of cervical spine injury management. Am J Emerg Med. Oct 1997;15(6):591-5
- Woodring JH, Lee C, Duncan V. Transverse process fractures of the cervical vertebrae: are they insignificant? J Trauma. June 1993; 34(6):797-802.
- Tintinalli's