Identification, Treatment, and Prognosis of Geriatric Thoracolumbar Spinal Trauma

  • Stephen C. Kane
  • Victor R. Lewis
  • James E. Conway
  • Ira M. Garonzik
Chapter

Abstract

In a population that is progressively consisting of a greater proportion of elderly individuals (>65 years of age) (Ortman et al., An aging nation: the older population in the United States, current population reports, P25–1140, 2014) it is becoming increasingly important to examine not only the long-term degenerative changes of age but also the potential differences in traumatic injuries these degenerative changes may produce (Woods et al., J Am Geriatr Soc 53(8):1321–1330, 2005). In the thoracolumbar spine these deteriorating changes have potential to intensify low-energy traumatic events, such as floor-level falls, leading to catastrophic structural or neurological compromise (Augat et al., Arch Orthop Trauma Surg 130:1405–1410, 2010). This chapter aims to outline the current relational understanding of the predispositions, mechanism of injury, diagnosis, treatment, and further complications that may present themselves in the geriatric thoracolumbar spinal trauma.

Keywords

Geriatric Spinal trauma Thoracolumbar spine Trauma predispositions Neurological function 

Abbreviations

ASIA

American Spinal Injury Association

BSS

Brown-Séquard syndrome

CES

Cauda equina syndrome

CMS

Conus medullaris syndrome

CT

Computed tomography

DVT

Deep-vein thrombosis

MRI

Magnetic resonance imaging

NSAID

Nonsteroidal anti-inflammatory drug

PE

Pulmonary embolism

SCI

Spinal cord injury

TLF

Thoracolumbar fracture

TLICS

Thoracolumbar injury classification and severity score

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Stephen C. Kane
    • 1
  • Victor R. Lewis
    • 1
  • James E. Conway
    • 2
    • 1
  • Ira M. Garonzik
    • 2
    • 1
  1. 1.Baltimore Neurosurgery and Spine CenterBaltimoreUSA
  2. 2.Department of Neurosurgery at Sinai HospitalBaltimore Neurosurgery and Spine CenterBaltimoreUSA

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