Spinal Trauma

Sundgren, Pia C.; Philipp, M.; Maly, Pavel

doi:10.1016/j.nic.2006.11.006

Cited by 20 publications

(11 citation statements)

References 68 publications

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“…Traumatic injury, as a distraction during physical examination, might act as a marker of injury severity 1–4 . Distracting injury remote from the spine is thought to be clinically important as considerable proportions of patients with major concomitant injury also have asymptomatic thoraco‐lumbar (TL‐spine) fractures 4–7 .…”

Section: Introductionmentioning

confidence: 99%

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Injuries significantly associated with thoracic spine fractures: A case–control study

Singh

Taylor

D’Souza

et al. 2009

Emerg Medicine Australasia

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Section: Introductionmentioning

confidence: 99%

“…Several studies investigating TL‐spine injury have reported associations between TL‐spine fracture and certain major non‐spinal injuries 3,4,7–9 . Injuries reportedly associated with TL‐spine fracture are those to the head, chest and long bone fractures 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Injuries significantly associated with thoracic spine fractures: A case–control study

Singh

Taylor

D’Souza

et al. 2009

Emerg Medicine Australasia

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“…Hast. Dergisi 2016; 26(3):250-252 doi:10.5222/terh.2016.250 ıntroDuCtıon Injuries to the spinal cord have high morbidity rate and affects commonly young, healthful persons (1) . Stabbing injuries to the spinal cord, also named nonmissile penetrating spinal injuries (NMPSI) are unusual in clinical practice (2) .…”

Section: öZmentioning

confidence: 99%

“…But there are some safety concerns such as migration of metallic object during MR imaging. Because of this reason the physician should consider additional possible injury (1,12) . Most of the spinal cord injuries require nonoperative treatment.…”

Section: Dıscussıonmentioning

confidence: 99%

A rare lumbar spinal column injury: glass injury

Toker¹,

Atilla²,

Kılıç³

et al. 2016

Terh

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Penetrating injuries to the vertebral column and the spinal cord are rare. Cauda equina injury caused by broken glass shards is even rarer than expected. In this study, a case of spinal column injury was reported in a 25-year-old female patient with glass shards stabbed in to her back, after falling back on top of the table made of glass. A piece of stabbed glass shards was extracted and the wound was sutured at another hospital before she presented to our emergency service. At the time of presentation, the patient had 2/5 muscle strength on her right leg and hypoesthesia below the L4 level. After emergency surgical intervention, the sensory deficit and the muscle strength have completely improved, and the patient was discharged after 6 days. In penetrating traumas to the lumbar region, emergency physician must keep possible spinal column injury in mind. Key words: Lumbar vertebra/injury, wounds, penetrating/diagnosis ÖZSpinal kolon ve spinal kordun penetran yaralanmaları enderdir. Cam kırılmasına bağlı cauda equina yaralanması beklenenden daha enderdir. Bu makalede cam masa üzerine düşme sonrası, sırtına cam saplanması nedeniyle spinal kolon yaralanması olan 25 yaşında bir kadın hasta sunulmuştur. Hastanın acil servisimize gelmeden önce başka bir hastanede saplanan cam parçasının bir parçası çıkarılmış ve yarası dikilmişti. Hastanın başvurusu sırasında sağ bacakta 2/5 kas gücü ve L4 seviyesinin altında hipoestezisi mevcuttu. Acil cerrahi müdahale sonrası hastada duyu ve motor defisit tamamen düzelmiş ve hasta operasyondan 6 gün sonra taburcu edilmişti. Lomber bölgeye olan penetran travmalarda, acil tıp hekimi spinal kolon yaralanması olabileceğini akılda bulundurmalıdır. Araşt. Hast. Dergisi 2016; 26(3):250-252 doi:10.5222/terh.2016.250 ıntroDuCtıon Injuries to the spinal cord have high morbidity rate and affects commonly young, healthful persons (1) . Stabbing injuries to the spinal cord, also named nonmissile penetrating spinal injuries (NMPSI) are unusual in clinical practice (2) . A nation-wide epidemiological study in Turkey showed that nonmissile penetrating injuries involve %3.3 of all spinal injuries (3) . We present a case with neurological deficit due to penetrating injury in the lumbar region which resolved after surgery. CasE rEportA 25-year-old woman applied to the emergency department (ED) with chief complaint of weakness in the right leg after falling back on the top of the table made of glass. A piece of stabbed glass was removed and the wound was sutured at another hospital before she presented to our ED. Her vital signs were within normal limits and a linear sutured laceration, approximately 4 cm in length, on the right paraspinal region at the L4 level was revealed. At the time of presentation, the patient had muscle strength of 2/5 on

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“…Because overuse injuries are associated with gradual increase in symptoms, athletes may be unaware that they are seriously injured. 14 In our opinion, the most common overuse injuries of the spine are stress fractures and their precursor stress reactions. Stress fractures intrinsic to the spine that can manifest as back pain may involve the vertebral bodies or, much more commonly, the pars interarticulare or pedicles.…”

mentioning

confidence: 99%

Spine and Sport

Jonge¹,

Kramer

2014

Semin Musculoskelet Radiol

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The spine, in athletes is a relatively frequent origin of problems. Chronic spine problems are much more common compared to acute injuries. Chronic injuries to the spine most often occur in low-contact sports like gymnastics and are most commonly the result of overuse. Acute injuries are more common in high-speed and full contact sports and are traumatic in origin. Injuries to the spinal cord can be devastating but are fortunately very uncommon. Although imaging of the spine appears to be straightforward, any radiologist will acknowledge that the optimal imaging strategy is often unclear due to several reasons. For the cervical spine much has improved since the NEXUS and CCR studies appeared in which clear rules were defined when to image the C-spine in acute trauma situations. For the thoracic and lumbar spines such rules are not defined. Although conventional imaging has long been the primary imaging modality of choice there is ample evidence that this should be abandoned in favor of multidetector CT for the C-spine. This is reflected in the ACR criteria in which conventional imaging of tile C-spine in trauma is rated as the least appropriate imaging method. However, this is not true in children and adolescents although a strict age criterion is not defined. It is also not true for injuries to the thoracic and lumbar spine in which conventional imaging still plays a large role as primary imaging modality followed by evaluation by CT in trauma situations. The role for MRI in acute situations is increasing especially with the increasing use of the TLICS system to classify injuries of the thoracic and lumbar spine in which the evaluation of the integrity of the posterior ligamentous structures is included. For the evaluation of chronic complaints, the roles of CT and MRI are basically reversed in which MRI will become the prime imaging modality of choice after conventional imaging after which CT can be reserved for a selected patient group. The merit of the different imaging modalities will be discussed together with a spectrum of acute and chronic injuries often encountered in the spine in athletes.

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Spinal Trauma

Cited by 20 publications

References 68 publications

Injuries significantly associated with thoracic spine fractures: A case–control study

Injuries significantly associated with thoracic spine fractures: A case–control study

A rare lumbar spinal column injury: glass injury

Spine and Sport

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