Thoracic and Lumbar Spine and Spinal Cord Injuries

  • Phillip Harris

Part of the Advances in Neurotraumatology book series (NEUROTRAUMATOL., volume 2)

Table of contents

  1. Front Matter
    Pages I-XIV
  2. W. Köning, R. A. Frowein, R. Firsching
    Pages 1-15
  3. H. Hacker
    Pages 41-49
  4. H. L. Frankel, W. S. El Masri, G. Ravichandran
    Pages 139-170
  5. R. McLaurin, Diane S. Babcock
    Pages 181-197
  6. F. Murillo, M. A. Muñoz, P. Albert
    Pages 199-206
  7. Phillip Harris
    Pages 207-208
  8. Back Matter
    Pages 209-214

About this book

Introduction

Owing to their frequency and possible consequences and considering the fact they frequently affect young people, trauma tic lesions of the thoraco­ lumbar spine represent a special point of interest within the field of Neurotraumatology. Traffic accidents are the commonest cause, which accounts for the high peak of occurrence between 15 and 24 years of age. It is also worth noting that according to published series nearly 50% ofthe cases affect the thoraco-lumbar junction. From an anatomical point of view, we must note the severity of thoracic spinal cord lesions especially of the thoraco-lumbar junction and of the lumbar region and be able to associate injuries ofthe conus medullaris and of the ca uda equina where there is a possibility of neurological recovery. Clinical evaluation is not always easy, but remains the basis for diagnosis and prognosis. The neurological classification proposed by FRANKEL et al. in 1969 and used at STOKE MANDEVILLE Hospital seems to retain its value. A more sophisticated study of medullary evoked potentials, as described by TsUBOKAWA can allow a more precise localisation and appreciation of the extent ofthe lesion as well as a better evaluation ofthe prognosis and ofthe evaluation of treatment in the acute phase. The neuro-radiological study should include standard views ofthe whole of the spine with antero-posterior and lateral tomograms of the fractured or luxated area. At present, the unquestionable contribution of the CT.

Keywords

spinal cord spine

Editors and affiliations

  • Phillip Harris
    • 1
  1. 1.Department Surgical NeurologyWestern General HospitalEdinburghScotland

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-7091-4143-4
  • Copyright Information Springer-Verlag Vienna 1987
  • Publisher Name Springer, Vienna
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-7091-4145-8
  • Online ISBN 978-3-7091-4143-4
  • Series Print ISSN 0178-3696
  • About this book