Spinal deformities Flashcards
What are some spinal emergencies?
Cauda equina syndrome
Fracture with deteriorating neurology
What is the initial steps following a fracture to the spine?
Immobilise
X-ray
Remember there may be other injuries
what needs to be established in the patient with a spinal fracture?
Motor level
Sensory level
Status of the saddle area
What must be seen in a cervical spine examination?
Make sure x-ray shows C7/T1
Rigid collar
What must be done in thoracolumbar injuries
Visualise whole spine
Rigid spine board
Most commonly at T12 or L1
What are potential problems, secondary to cord damage?
Cord swelling Oedema Ischaemia Thrombosis of small vessels venous obstruction
On the Frankel/ASIA grading scale, what is I or A
Complete motor and sensory loss
On the Frankel/ASIA grading scale, what is II or B?
Complete motor and incomplete sensory loss
On the Frankel/ASIA grading scale, what is III or C?
Incomplete motor loss - no practical use
On the Frankel/ASIA grading scale, what is IV or D?
Useful motor and incomplete sensory
On the Frankel/ASIA grading scale, what is V or E?
Normal motor and sensory function
