dorsal & lumbar fractures
Post on 07-Jul-2015
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DORSAL & LUMBAR FRACTURESBY : DR / AHMED MOHAMMED DEBES
NEUROSURGERY RESIDENT AT AHMED MAHER TEACHING HOSPITAL
CAIRO, EGYPT
FRIDAY 30/05/2014
Ant. Column
wedging
Mid. & post.
Columns ruptured
hyper flexion upper
thoracic lower spine
fixed
horizontal split
through the
spinous process,
lamina, pedicles
All
columns
are
disrupte
d
30 mg / kg iv within 8 hours
Updated guidelines issued in 2013 by the CNS and
the American Association of Neurological
Surgeons (AANS) recommend against the use of
steroids early after an acute SCI. The guidelines
recommend that methylprednisolone not be used
for the treatment of acute SCI within the first 24-48
hours following injury. The previous standard was
revised because of a lack of medical evidence
supporting the benefits of steroids in clinical
settings and evidence that high-dose steroids are
associated with harmful adverse effects
THE ENDTHANK YOU
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