Chapter

Emergency management of the traumatized cervical spine

Jens R. Chapman and Richard J. Bransford

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.012038

Series: Oxford Textbooks

Emergency management of the traumatized cervical spine

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Unconscious patients should have CT scan of neck

Emergency MRI if possible in spinal cord injury

Avoid flexion/extension views if possible

In spinal shock avoid over transfusion and consider epinephrine; high dose steroids probably not indicated

Reduce dislocation acutely (MRI before in intact patients if possible)

Do not put distraction injury into traction

Urgent surgery for traumatic disc hernaition, expanding epidural haematoma, depressed lamina fracture or complex facet fractures with dislocation.

Chapter.  5310 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Critical Care

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