Abstract
In this chapter, the questions and answers are intended to cover the following topics in relation to the neurocritical care and neurosurgical management of spinal cord injuries (SCI) in the following settings: closed and penetrating SCI, cervical spinal fracture, dorsolumbar spinal fractures, sacral spinal fractures, SCIWORA, traumatic spinal hematoma, arterial injuries, dissection, and pseudoaneurysms. In addition, principles on the radiographic evaluation of TBI, indications for head CT, and admission are discussed in depth.
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Alizadeh A, Dyck SM, Karimi-Abdolrezaee S. Traumatic spinal cord injury: an overview of pathophysiology, models and acute injury mechanisms. Front Neurol. 2019;10:282.
Al-Mahfoudh R, Beagrie C, Woolley E, Zakaria R, Radon M, Clark S, Pillay R, Wilby M. Management of typical and atypical Hangman’s fractures. Global Spine J. 2016;6(3):248–56.
Alterman DM, Heidel RE, Daley BJ, Grandas OH, Stevens SL, Goldman MH, Freeman MB. Contemporary outcomes of vertebral artery injury. J Vasc Surg. 2013;57(3):741–6.
Anderson LD, D’Alonzo RT. Fractures of the odontoid process of the axis. J Bone Joint Surg. 1974;56A:1663–74.
Atkinson PP, Atkinson JLD. Spinal shock. Mayo Clin Proc. 1996;71:384–9.
Bhatoe HS, Singh P. Missile injuries of the spine. Neurol India. 2003;51(4):507.
Bracken MB. Steroids for acute spinal cord injury. Cochrane Database Syst Rev. 2002;1(1):CD001046.
Bydon M, Fredrickson V, De la Garza-Ramos R, Li Y, Lehman RA, Trost GR, Gokaslan ZL. Sacral fractures. Neurosurg Focus. 2014;37(1):E12.
Chen WH, Jiang LS, Dai LY. Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation. Eur Spine J. 2007;16(9):1307–16.
Consensus Development Conference. Prophylaxis and treatment of osteoporosis. Am J Med. 1991;90:107–10.
Demura S, Murakami H, Shirai T, Kato S, Yoshioka K, Ota T, Ishii T, Igarashi T, Tsuchiya H. Surgical treatment for pyogenic vertebral osteomyelitis using iodine-supported spinal instruments: initial case series of 14 patients. Eur J Clin Microbiol Infect Dis. 2015;34(2):261–6.
Denaro V, Longo UG, Maffulli N, Denaro L. Vertebroplasty and kyphoplasty. Clin Cases Miner Bone Metab. 2009;6(2):125.
Desouza RM, Crocker MJ, Haliasos N, Rennie A, Saxena A. Blunt traumatic vertebral artery injury: a clinical review. Eur Spine J. 2011;20(9):1405–16.
Duz B, Cansever T, Secer HI, Kahraman S, Daneyemez MK, Gonul E. Evaluation of spinal missile injuries with respect to bullet trajectory, surgical indications and timing of surgical intervention: a new guideline. Spine. 2008;33(20):E746–53.
Erickson RP. Autonomic hyperreflexia: pathophysiology and medical management. Arch Phys Med Rehabil. 1980;61:431–40.
Feuchtwanger MM. High velocity missile injuries: a review. J R Soc Med. 1982;75(12):966.
Fielding JW, Hensinger RN, Hawkins RJ. Os Odontoideum. J Bone Joint Surg. 1980;62A:376–83.
Fogelman MJ, Stewart RD. Penetrating wounds of the neck. Am J Surg. 1956;91:581–96.
Gelb DE, et al. Initial closed reduction of cervical spinal fracture-dislocation injuries. Neurosurgery. 2013;72:73–83.
Gopinathan NR, Viswanathan VK, Crawford AH. Cervical spine evaluation in pediatric trauma: a review and an update of current concepts. Indian J Orthop. 2018;52:489–500.
Hadley MN, Walters BC, Grabb BC, Oyesiku NM, Przybylski GJ, Resnick DK, Ryken TC. Initial closed reduction of cervical spine fracture-dislocation injuries. Neurosurgery. 2002;50(3 Suppl):S44–50.
Hall GC, Kinsman MJ, Nazar RG, Hruska RT, Mansfield KJ, Boakye M, Rahme R. Atlanto-occipital dislocation. World J Orthop. 2015;6(2):236.
Hitchon PW, Jurf AA, Kernstine K, et al. Management options in thoracolumbar fractures. Contemp Neurosurg. 2000;22:1–12.
Hurlbert RJ, Hadley MN, Walters BC, et al. The acute cardiopulmonary management of patients with cervical spinal cord injuries. Neurosurgery. 2013;72(Suppl 2):84–92.
Jenkins LN, Rezende-Neto JB. Current management of penetrating traumatic cervical vascular injuries. Curr Surg Rep. 2020;8:1–8.
Kakarla UK, Chang SW, Theodore N, et al. Atlas fractures. Neurosurgery. 2010;66:60–7.
Ko HY. Revisit spinal shock: pattern of reflex evolution during spinal shock. Korean J Neurotrauma. 2018;14(2):47.
Lee TS, Ducic Y, Gordin E, Stroman D. Management of carotid artery trauma. Craniomaxillofac Trauma Reconstr. 2014;7(3):175–89.
Levine AM. The Cervical Spine Research Society Editorial Committee. Traumatic spondylolisthesis of the axis: “Hangman’s fracture”. In: The cervical spine. 3rd ed. Philadelphia: Lippincott-Raven; 1998. p. 429–48.
Lo J, Cavazos J, Burnett C. Management of complex regional pain syndrome. In: Baylor University medical center proceedings, vol. 30. Taylor & Francis; 2017. p. 286–8.
Maschmann C, Jeppesen E, Rubin MA, Barfod C. New clinical guidelines on the spinal stabilisation of adult trauma patients–consensus and evidence based. Scand J Trauma Resusc Emerg Med. 2019;27(1):1–10.
Meyer JP, Barrett JA, Schuler JJ, et al. Mandatory versus selective exploration for penetrating neck trauma. A prospective assessment. Arch Surg. 1987;122:592–7.
Mohan B, Singal S, Bawa AS, Mahindra P, Yamin M. Endovascular management of traumatic pseudoaneurysm: short & long term outcomes. J Clin Orthop Trauma. 2017;8(3):276–80.
Mueller CA, Peters I, Podlogar M, Kovacs A, Urbach H, Schaller K, Schramm J, Kral T. Vertebral artery injuries following cervical spine trauma: a prospective observational study. Eur Spine J. 2011;20(12):2202–9.
Muralidhar BM, Hegde D, Hussain PS. Management of unstable thoracolumbar spinal fractures by pedicle screws and rods fixation. J Clin Diagn Res. 2014;8(2):121.
Nowicki JL, Stew B, Ooi E. Penetrating neck injuries: a guide to evaluation and management. Ann R Coll Surg Engl. 2017;100(1):6–11.
Phang I, Papadopoulos MC. Intraspinal pressure monitoring in a patient with spinal cord injury reveals different intradural compartments: injured spinal cord pressure evaluation (ISCoPE) study. Neurocrit Care. 2015;23(3):414–8.
Przybylski GJ. Management of odontoid fractures. Contemp Neurosurg. 1998;20:1–6.
Pulivarthi S, Gurram MK. Effectiveness of d-dimer as a screening test for venous thromboembolism: an update. N Am J Med Sci. 2014;6(10):491.
Radvany MG, Murphy KJ, Millward SF, Barr JD, Clark TW, Halin NJ, Kinney TB, Kundu S, Sacks D, Wallace MJ, Cardella JF. Research reporting standards for percutaneous vertebral augmentation. J Vasc Interv Radiol. 2009;20(10):1279–86.
Rajasekaran S, Kanna RM, Shetty AP. Management of thoracolumbar spine trauma: an overview. Indian J Orthop. 2015;49(1):72.
Riascos R, Bonfante E, Cotes C, Guirguis M, Hakimelahi R, West C. Imaging of atlanto-occipital and atlantoaxial traumatic injuries: what the radiologist needs to know. Radiographics. 2015;35(7):2121–34.
Rozzelle CJ, Aarabi B, Dhall SS, et al. Management of pediatric cervical spine and spinal cord injuries. Neurosurgery. 2013;72(Suppl 2):205–26.
Sabiston CP, Wing PC. Sacral fractures: classification and neurologic implications. J Trauma. 1986;26:1113–5.
Shahlaie K, Chang DJ, Anderson JT. Nonmissile penetrating spinal injury: case report and review of the literature. J Neurosurg Spine. 2006;4(5):400–8.
Singh RR, Barry MC, Ireland A, et al. Current diagnosis and management of blunt internal carotid artery injury. Eur J Vasc Endovasc Surg. 2004;27(6):577–84.
Sözen T, Özışık L, Başaran NÇ. An overview and management of osteoporosis. Eur J Rheumatol. 2017;4(1):46.
Statements PC. Prevention of venous thromboembolism in individuals with spinal cord injury: clinical practice guidelines for health care providers. Top Spinal Cord Inj Rehabil. 2016;22(3):209–40.
Suss RA, Zimmerman RD, Leeds NE. Pseudospread of the atlas: false sign of Jefferson fracture in young children. AJR. 1983;140:1079–82.
Tannoury C, Degiacomo A. Fatal vertebral artery injury in penetrating cervical spine trauma. Case Rep Neurol Med. 2015;12:2015.
Theodore N, Aarabi B, Dhall SS, et al. The diagnosis and management of traumatic atlanto-occipital dislocation injuries. Neurosurgery. 2013a;72(Suppl 2):114–26.
Theodore N, et al. Occipital condyle fractures. Neurosurgery. 2013b;72:106–13.
Vaccaro AR, Lehman RA Jr, Hurlbert RJ, et al. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine. 2005;30:2325–33.
Wasner G, Schattschneider J, Binder A, Baron R. Complex regional pain syndrome–diagnostic, mechanisms, CNS involvement and therapy. Spinal Cord. 2003;41(2):61–75.
Wilson JR, Cadotte DW, Fehlings MG. Clinical predictors of neurological outcome, functional status, and survival after traumatic spinal cord injury: a systematic review. J Neurosurg Spine. 2012;17(1, Suppl):11–26.
Zaveri G, Das G. Management of sub-axial cervical spine injuries. Indian J Orthop. 2017;51:633–52.
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Alkhataybeh, R.A., Madi, H., Muhsen, B.A., Dolachee, A.A., Al-Dhahir, M.A., Al-Sharshahi, Z.F. (2022). Management of Spinal Neurotrauma. In: Neurotrauma. Springer, Cham. https://doi.org/10.1007/978-3-030-80869-3_5
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DOI: https://doi.org/10.1007/978-3-030-80869-3_5
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