Spine and pelvis surgery

Question 1

Pelvis protocols

Answer 1

• Operated pelvis- Jordan frame, NWB 6/52, RIB, bed rest activities, hydrotherapy after 2/52
• Operated Acetabular- not to mobilise, RIB, sit as advised, bed exercises, hydro 2/52
• Non-op acetab- Maybe RIB 6/52 (otherwise D/C = 1/7), straight leg traction?
• Help patients get used to being upright w tilt table or gradual incline of bed

Question 2

Mx of spinal surgeries

Answer 2

• Disectomy < Laminectomy < Spinal Fusion
• No mech changes – Some mech changes – major mech changes
• Care w trunk flex and rot. – minimise T F and Rot. – No T F and Rot.

Question 3

Ankle #

Answer 3

• High risk of compartment syndrome
• Can D/C day 1 if criteria met
• Usually NWB 2/52- crutches&raquo_space; Moon boot

Question 4

Tibial #

Answer 4

• Shaft = check WB status
• Plateau = NWB 6/52&raquo_space; PWB 6/52&raquo_space; protected WB 3/12
o Zimmer splint 2/52&raquo_space; hinged knee brace

Question 5

Patella #

Answer 5

• WBAT in extension splint
• No passive Kn F 4-6/52
• Start guided active exercise after 2/52 xray r/v