Torre GD, Pérez MJA, Góngora LJ, Huerta OVM

Language: Spanish
References: 6
Page: 22-28
PDF size: 88.09 Kb.

ABSTRACT

There are different methods to assess clinically and radiologically the status of patients with spinal trauma. The purpose of the study was the correlate clinically and radiologically the level of the injury on the spine, to learn weather the injury was complete or not and their relation to vertebral fractures. In short clinical evaluation was achieved using six parameters of the ASIA classification and 5 radiographic parameters. There method provides an accurate evaluation of the diagnosis, outcome and an adequate design the therapy to be instituted. Up to date in a study that started on January 1999, and that will come to an end on December 2000, in the Orthopaedics Clinic at Hospital Juárez de México. We have performed a complete evaluation, clinical and radiological of 29 patients with spine trauma. Regardless of the level of experience (since our clinic not only deals with trauma patients), the method does not prevent a complete diagnostic evaluation form being performed, and then allows an effective and fast treatment, which prevents worsening of skeletal and neurologic damage.

REFERENCES

1. Allen JRB, Ferguson R, Lehumann T et al. A mechanistic classification of closed indirect fractures ab dislocation of the lower cervical spine. Spine 1982; 7: 1-27.

2. Denis F. The three column spine classification of acute thoracolumbar spine injuries. Spine 1983; 8: 871-31.

3. Duffo Olvera. Nuevo sistema de clasificación de fracturas en columna vertebral del Dr. Paul R. Meyer Jr. Revista Mexicana de Ortopedia y Trauma 1998; 12: 549-553.

4. Holdsworth F. Review article: Fractures, dislocation and fracture dislocations of the spine. J Bone and Joint Sup 1970; 52(A): 1534-51.

5. Magerl F. The Spine. AO Classification 1989; 5: 1-25.

6. William HD, Frederick M, Maynard JR. Normas para la clasificación neurológica de pacientes con lesión de la médula espinal. Asociación Americana de Lesiones Medulares (ASIA).