Spinal injuries at General hospital of Da Nang
- Author:
Dung Ngoc Le
- Publication Type:Journal Article
- Keywords:
spinal injury
- MeSH:
Spinal Injuries
- From:Journal of Vietnamese Medicine
1999;232(1):53-58
- CountryViet Nam
- Language:Vietnamese
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Abstract:
86 cases of spinal fractures with neurological deficit have been reviewed. Surgical treatment of severe spinal injuries with neurological deficit comprises 3 important steps: -reduction-decompression- stabilisation. In cervical injuries, 3 main points can be obtained more often by conservative skeletal traction followed by immobilisation in cast or Halo in extension especially in complete cord lesion. Surgery is seldom indicated. In thoraco lumbar injuries surgery is mainly considered, but decision making for operation must be correct. Surgery attemping at enhancing neurological recovery carries its risk of lost of neurologic functions. Early or delayed operation does not change any neurological outcome. A delayed timing for surgery but good making decision is better than an aggressive surgery, without thinking of the prognosis. A repeated and meliculous neurological examination can predict the making decision for surgery and prognosis of the results.
