Spinal trauma: therapy--options and outcomes.
The management of patients with spinal trauma is based on the following goals: (1) the preservation of life; (2) preserving and maximising the neurological function; and (3) providing a stable, painless vertebral column. There have been advances in both non operative as well operative modalities of treatment of patients with spinal injuries. These advances have led to renewed interest in the management of a spinally injured patient. However, despite these advances controversies exist regarding the classification of these fractures, the use of pharmacological intervention, the timing of surgical intervention and indeed the use of surgical intervention itself in the management of these fractures. Most of these controversies surround the treatment of thoracic and lumbar fractures. The purpose of this article is to provide an over view of the therapy options available in the treatment of these fractures. The article shall also look at some of the controversies surrounding the management of these fractures.
Trivedi
Jayesh M
JM
Robert Jones and Agnes Hunt, Orthopaedic Hospital, Twmpath Lane, Gobowen, Oswestry SY10 7AG, UK. jayesh673@aol.com
D000818:Animals; D002986:Clinical Trials as Topic; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D013119:Spinal Cord Injuries / Q000150:complications / Q000201:enzymology / Q000503:physiopathology / Q000628:therapy*; D016103:Spinal Fractures / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D013997:Time Factors
D018696:Neuroprotective Agents; D008775:Methylprednisolone