Ortiz SR

Language: Spanish
References: 8
Page: 73-81
PDF size: 140.68 Kb.

ABSTRACT

The basis for the treatment of the spine fractures is surgical intervention, stabilization, atraumatic management and, early mobilization. These concepts were first described in 1970 and there have been a few changes since then. There is no current international consensus for the management in patients with Neurological deficit, and we must consider different clinical findings to choose the best choice of treatment. The correct management for the quadriplegic patient is not clear, although most surgeons recommend surgical intervention as soon as possible to avoid respiratory complications and reduce the hospitalization time. Most studies have shown a higher mortality in patients with surgical intervention before the first 48 hours after the spinal injury due to pulmonary and hemodynamic complications. The best choice of treatment for the patient with cervical spine injury must consider the following clinical features: Mechanism of injury, trauma kinetics, quality of radiographic images, most compromised tissue, classification of the lesions using the Frankel or ASIA scales, evaluate the severity of the injury using the SLIC scale. In summary, there is no consensus for the management of these patients, and we must choose the best option by considering these clinical features.

REFERENCES

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