Concluded Case

Emergency management for spinal injury

55yr , RTA with Traumatic spine Injury, Complete paraplegia, Vitals Spinal shock

3 Likes

LikeAnswersShare
Concluded answer

Dislocation & compression of D4 vertebrae with severe cord compression. Needs decompression & spinal fixation. Chest complications to be managed. Rule out any organ failures. Limb positioning and in bed exercises with deep breathing exercises, post surgery.

All Answers

Spinal surgery and post operative spinal care with guidance of surgeons. And lower limb muscle reeducation to gain maximum muscle power according to level of injury. Breathing exercises and upper body strength training as early as possible to achieve bed mobility and transfer. Positioning care to prevent bed sore must include in acute care.

Thank you doctor
0

Dislocation & compression of D4 vertebrae with severe cord compression. Needs decompression & spinal fixation. Chest complications to be managed. Rule out any organ failures. Limb positioning and in bed exercises with deep breathing exercises, post surgery.

Valuable opinion
1

D3# ,with dislocation ,complete trasection of the cord at D3 level. Ref to spinal / orthopedic surgeon for surgery and spinal stabilization at the earliest

I agree
0

#LUMBAR VERTEBRAE WITH DISLOCATION Rx surgical intervention Decompression with spinal jacket braces fixator Followed by physiotherapy

Thanx dr Rushikesh Gadhavi
0

View 1 other reply

Severe cord compression Need reduction and fixation for rehabilitation Solumedrol infusion can be tried

Thank you doctor
0

Surgery done immediately.....Post op he can sit in chair.....