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Multiple Choice Question 1 of 5
A patient involved in a high-speed road traffic accident has a severe lower limb injury. He is complaining of pain in the thoracic spine. Which initial spinal imaging is appropriate?CorrectIncorrect
Multiple Choice Question 2 of 5
The AO and Denis classifications are commonly used to assess spinal stability. Both divide the spine into columns. How many columns are describedCorrectIncorrect
Multiple Choice Question 3 of 5
A 55-year-old man known to have ankylosing spondylitis tripped on the carpet. He is seen in the Emergency Department, where he complains of neck pain with numbness in the left arm. His cervical radiograph is reported as normal. Does he need any further imaging?CorrectIncorrect
Multiple Choice Question 4 of 5
Fracture displacement in the spinal column commonly results in injury to neural tissue. At what spinal level is there the most space for the spinal cord?CorrectIncorrect
Multiple Choice Question 5 of 5
A 21-year-old woman is seen in the Emergency Department having fallen from a horse. She has no power in her legs. She has normal power in her arms. Her blood pressure is low and she is bradycardic. What spinal level could her injury be?CorrectIncorrect
This paper details the three-column classification of spinal trauma. First described by Denis for thoracolumbar fractures, it is still commonly used in surgical practice to predict if a spinal fracture is stable or unstable. The classification is applicable for spinal fractures from C3 to L5 (not just thoracolumbar fractures).
This is a systematic review investigating the benefits of early versus late fixation in patients with unstable fractures and normal neurology. The review indicates that early fixation is beneficial, leading to shorter hospital and intensive care unit stay and a reduction in complications. The advantage was greatest in patients with high injury severity scores (polytrauma).
This document details the initial management of a patient with an acute spinal cord injury. It presents algorithms as guidelines for the early management and recognition of possible complications.