[Management of Spine Injuries in Polytraumatized Patients]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2005 Aug 13

PMID 16096745

Citations 16

Authors

C E Heyde

W Ertel

R Kayser

Affiliations

Soon will be listed here.

Abstract

The management of spine injuries in polytraumatized patients remains a great challenge for the diagnostic procedures and institution of appropriate treatment by integrating spinal trauma treatment into the whole treatment concept as well as following the treatment steps for the injured spine itself. The established concept of "damage control" and criteria regarding the optimal time and manner for operative treatment of the injured spine in the polytrauma setting is presented and discussed.

Citing Articles

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Development and Internal Validation of a Nomogram to Predict Mortality During the ICU Stay of Thoracic Fracture Patients Without Neurological Compromise: An Analysis of the MIMIC-III Clinical Database.

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Timing of intervention for spinal injury in patients with polytrauma.

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Early Versus Late Spine Surgery in Severely Injured Patients-Which Is the Appropriate Timing for Surgery?.

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Vordemvenne T, Wahnert D, Klingebiel S, Lohmaier J, Hartensuer R, Raschke M J Clin Med. 2020; 9(12).

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References

Blauth M, Knop C, Bastian L, Krettek C, Lange U . [Complex injuries of the spine]. Orthopade. 1998; 27(1):17-31. DOI: 10.1007/PL00003446. View

Dormans J . Evaluation of children with suspected cervical spine injury. J Bone Joint Surg Am. 2002; 84(1):124-32. DOI: 10.2106/00004623-200201000-00018. View

Rotondo M, Zonies D . The damage control sequence and underlying logic. Surg Clin North Am. 1997; 77(4):761-77. DOI: 10.1016/s0039-6109(05)70582-x. View

Ruchholtz S, Zintl B, Nast-Kolb D, Waydhas C, Lewan U, Kanz K . Improvement in the therapy of multiply injured patients by introduction of clinical management guidelines. Injury. 2000; 29(2):115-29. DOI: 10.1016/s0020-1383(97)00150-2. View

Johnson K, Cadambi A, Seibert G . Incidence of adult respiratory distress syndrome in patients with multiple musculoskeletal injuries: effect of early operative stabilization of fractures. J Trauma. 1985; 25(5):375-84. DOI: 10.1097/00005373-198505000-00001. View

Fehlings M, Tator C . An evidence-based review of decompressive surgery in acute spinal cord injury: rationale, indications, and timing based on experimental and clinical studies. J Neurosurg. 1999; 91(1 Suppl):1-11. DOI: 10.3171/spi.1999.91.1.0001. View

Ziegenfuss T . [Emergency management of polytrauma patients]. Zentralbl Chir. 1996; 121(11):924-42. View

Kohler A, Friedl H, Kach K, Stocker R, Trentz O . [Patient management in polytrauma with injuries of the cervical spine]. Helv Chir Acta. 1994; 60(4):547-50. View

Hebert J, Burnham R . The effect of polytrauma in persons with traumatic spine injury. A prospective database of spine fractures. Spine (Phila Pa 1976). 2000; 25(1):55-60. DOI: 10.1097/00007632-200001010-00011. View

10.

Clark C, White 3rd A . Fractures of the dens. A multicenter study. J Bone Joint Surg Am. 1985; 67(9):1340-8. View

11.

Dimar 2nd J, Glassman S, Raque G, Zhang Y, Shields C . The influence of spinal canal narrowing and timing of decompression on neurologic recovery after spinal cord contusion in a rat model. Spine (Phila Pa 1976). 1999; 24(16):1623-33. DOI: 10.1097/00007632-199908150-00002. View

12.

Holly L, Kelly D, Counelis G, Blinman T, McArthur D, Cryer H . Cervical spine trauma associated with moderate and severe head injury: incidence, risk factors, and injury characteristics. J Neurosurg. 2002; 96(3 Suppl):285-91. DOI: 10.3171/spi.2002.96.3.0285. View

13.

Kossmann T, Trease L, Freedman I, Malham G . Damage control surgery for spine trauma. Injury. 2004; 35(7):661-70. DOI: 10.1016/j.injury.2004.03.005. View

14.

Herr C, Ball P, Sargent S, Quinton H . Sensitivity of prevertebral soft tissue measurement of C3 for detection of cervical spine fractures and dislocations. Am J Emerg Med. 1998; 16(4):346-9. DOI: 10.1016/s0735-6757(98)90124-3. View

15.

Albrecht T, von Schlippenbach J, Stahel P, Ertel W, Wolf K . [The role of whole body spiral CT in the primary work-up of polytrauma patients--comparison with conventional radiography and abdominal sonography]. Rofo. 2004; 176(8):1142-50. DOI: 10.1055/s-2004-813259. View

16.

Buhren V . [Injuries to the thoracic and lumbar spine]. Unfallchirurg. 2003; 106(1):55-68; quiz 68-9. DOI: 10.1007/s00113-002-0557-6. View

17.

Ertel W, Trentz O . [New diagnostic strategies in multiple injury]. Chirurg. 1998; 68(11):1071-5. DOI: 10.1007/s001040050325. View

18.

Tscherne H, Regel G, Pape H, Pohlemann T, Krettek C . Internal fixation of multiple fractures in patients with polytrauma. Clin Orthop Relat Res. 1998; (347):62-78. View

19.

Waydhas C, Nast-Kolb D, Kick M, Trupka A, Machleidt W, Jochum M . [Operative injury in spinal surgery in the management of polytrauma patients]. Unfallchirurg. 1993; 96(2):62-5. View

20.

Effendi B, Roy D, Cornish B, Dussault R, Laurin C . Fractures of the ring of the axis. A classification based on the analysis of 131 cases. J Bone Joint Surg Br. 1981; 63-B(3):319-27. DOI: 10.1302/0301-620X.63B3.7263741. View