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Thoracic and Lumbar Spine and Spinal Cord Injuries

  • Book
  • © 1987

Overview

Editors:
  1. Phillip Harris

    1. Department Surgical Neurology, Western General Hospital, Edinburgh, Scotland

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

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Table of contents (12 chapters)

  1. Front Matter

    Pages I-XIV
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  2. Epidemiology of Spinal Cord Injuries

    • W. Köning, R. A. Frowein, R. Firsching
    Pages 1-15

  3. Biomechanics of the Thoracic and Lumbar Spine

    • B. Kummer
    Pages 17-25

  4. Clinical Aspects of Thoracic and Lumbar Spine and Spinal Cord Injuries

    • E. S. Stauffer
    Pages 27-39

  5. Radiological Investigations

    • H. Hacker
    Pages 41-49

  6. Intraoperative Ultrasound in Neurotraumatology: Brain, Spinal Cord and Cauda equina

    • G. J. Dohrmann, J. M. Rubin
    Pages 51-64

  7. The Clinical Value of Multimodality Spinal Cord Evoked Potentials in the Prognosis of Spinal Cord Injury

    • T. Tsubokawa
    Pages 65-92

  8. Treatment of Thoracic and Lumbar Spine and Spinal Cord Injuries

    • Y. Reynier
    Pages 93-138

  9. Non-operative Treatment—Rehabilitation and Outcome

    • H. L. Frankel, W. S. El Masri, G. Ravichandran
    Pages 139-170

  10. Revascularisation of the Traumatised Spinal Cord: Experimental and Clinical

    • J. Abraham
    Pages 171-180

  11. Sonography of Traumatic Cranial Hemorrhage

    • R. McLaurin, Diane S. Babcock
    Pages 181-197

  12. Drug Protection for Head Injuries

    • F. Murillo, M. A. Muñoz, P. Albert
    Pages 199-206

  13. Epilogue

    • Phillip Harris
    Pages 207-208

  14. Back Matter

    Pages 209-214
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Keywords

About this book

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.

Editors and Affiliations

  • Department Surgical Neurology, Western General Hospital, Edinburgh, Scotland

    Phillip Harris

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