Introduction
Spinal Injuries
Spinal Column Anatomy
Structure of Vertebrae
Denis Classification of Spinal Fractures
Commonest Types of Spinal Fractures
Cases
Case 1: 'Mary'
Assessment
Compression Fracture
Case 2: 'Greg'
C-spine Immobilsation
Assessment for Cervical Spine Injury
Initial Management
*C* ABCDE Approach
Next Management
CT Scan
Traumatic Spinal Cord Injury (TSCI)
Pathophysiology of TSCI
Spinal Surgeon
ASIA Chart
Greg's Neurological Injuries
ASIA Impairment Scale (AIS)
Patterns of Injuries
Management
Rehab
Approach to Back Pain History Taking
Back Pain Red Flags
Differentials of Back Pain
Follow Up
Summary
Feedback
Spinal Injuries
Case 1: 'Mary'
Situation and Background
Mary is a 75 year old lady who lives alone in a bungalow
She has a PMHx of acid reflux, osteoporosis, type 2 diabetes
Whilst out gardening she slipped on the steps outside
What are you worried about when an elderly patient presents with a fall?
compression fracture
Fracture
Head Injury
Collapse due to an underlying cause: e.g. stroke, MI, hypoglycaemia, rupture, abdominal aortic anerusym
