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Medical management of Spinal Cord Injuries

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Medical management of Spinal Cord Injuries

  1. 1. Declaimer
  2. 2. Medical Management of Spinal Cord Injuries Dr. Deepak Anap Associate Professor
  3. 3. OBJECTIVES • At the end of lecture student should be able to explain early medical management of spinal cord injury patients
  4. 4. At the Site……………. • Improper handling can cause further damage and loss of functioning • Always assume there is a spinal cord injury until it is ruled out • Immobilize • Prevent flexion, rotation or extension of neck • Avoid twisting patient
  5. 5. Log Rolling
  6. 6.  Emergency treatment
  7. 7. • Methylprednisolone The National Acute Spinal Cord Injury Studies (NASCIS) II and III, a Cochrane Database of Systematic Reviews article of all randomized clinical trials,and other published reports, have verified significant improvement in motor function and sensation in patients with complete or incomplete spinal cord injuries (SCIs) who were treated with high doses of methylprednisolone within 8 hours of injury. Drug Therapy
  8. 8. Fracture Stabilization • With reduction, the spine is realigned through the application of a skeletal traction devise (such as Gardner-Wells tongs, Minerva vest, Halo traction) or Soft and hard collars.
  9. 9. Minerva Cervical Orthosis Halo Orthosis Thoraco Lumbar Orthosis
  10. 10. • Patients With thoracic or Lumbar injuries managed conservatively Require positions in rotating beds.

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