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2024 ATLS 10TH EDITION - SPINE TRAUMA EXAM WITH ANSWERS
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2024 ATLS 10TH EDITION - SPINE TRAUMA EXAM WITH ANSWERS
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2024 ATLS 10TH EDITION - SPINETRAUMA EXAM WITH ANSWERS
Anterior cord syndrome - CORRECT-ANSWERSanterior part of the cord.
It is characterized by paraplegia and a bilateral loss of pain and temperature
sensation.
However, sensation from the intact dorsal column (i.e., position, vibration,
and deep pressure sense) is preserved.
This syndrome has the poorest prognosis of the incomplete
Due to cord ischaemia
Brown-Séquard syndrome - CORRECT-ANSWERShemisection of the cord,
usually due to a penetrating trauma.
ipsilateral motor loss (corticospinal tract) and loss of position sense (dorsal
column), associated with contralateral loss of pain and temperature
sensation beginning one to two levels below the level of injury (spino-
thalamic tract).
Even when the syndrome is caused by a direct penetrating injury to the cord,
some recovery is usually achieved.
Corticospinal Tract
Location - CORRECT-ANSWERSAnterior and lateral segments of the cord
Motor
Spinothalamic Tract - CORRECT-ANSWERSAnterolateral aspect of cord
Pain and temperature
Dorsal columns - CORRECT-ANSWERSPosteromedial aspect of the cord
Proprioception, vibration, light touch
Atlanto Occipital Dislocation - CORRECT-ANSWERSSevere traumatic flexion
and distraction
Death from brain stem destruction
Atlas Fracture - C1 - CORRECT-ANSWERS5% of acute spine fractures
40% of atlas fractures are associated with fractures of C2
Burst / Jefferson Fracture
Axial Loading
Unstable - not usually associated with spinal cord injury
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