Overview

Owing to their frequency and possible consequences and considering the fact they frequently affect young people, trauma tic lesions of the thoraco­ lumbar spine represent a special point of interest within the field of Neurotraumatology. Traffic accidents are the commonest cause, which accounts for the high peak of occurrence between 15 and 24 years of age. It is also worth noting that according to published series nearly 50% ofthe cases affect the thoraco-lumbar junction. From an anatomical point of view, we must note the severity of thoracic spinal cord lesions especially of the thoraco-lumbar junction and of the lumbar region and be able to associate injuries ofthe conus medullaris and of the ca uda equina where there is a possibility of neurological recovery. Clinical evaluation is not always easy, but remains the basis for diagnosis and prognosis. The neurological classification proposed by FRANKEL et al. in 1969 and used at STOKE MANDEVILLE Hospital seems to retain its value. A more sophisticated study of medullary evoked potentials, as described by TsUBOKAWA can allow a more precise localisation and appreciation of the extent ofthe lesion as well as a better evaluation ofthe prognosis and ofthe evaluation of treatment in the acute phase. The neuro-radiological study should include standard views ofthe whole of the spine with antero-posterior and lateral tomograms of the fractured or luxated area. At present, the unquestionable contribution of the CT.

Full Product Details

Author:   J.C. Christensen ,  Phillip Harris ,  G.J. Dohrmann ,  S. El-Gindi
Publisher:   Springer Verlag GmbH
Imprint:   Springer Verlag GmbH
Edition:   1987 ed.
Volume:   2
Dimensions:   Width: 17.00cm , Height: 1.20cm , Length: 24.40cm
Weight:   0.409kg
ISBN:  

9783709141458

ISBN 10:   3709141451
Pages:   214
Publication Date:   23 August 2014
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print  
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Table of Contents

Epidemiology of Spinal Cord Injuries.- Biomechanics of the Thoracic and Lumbar Spine.- Clinical Aspects of Thoracic and Lumbar Spine and Spinal Cord Injuries.- Radiological Investigations.- Intraoperative Ultrasound in Neurotraumatology: Brain, Spinal Cord and Cauda equina.- The Clinical Value of Multimodality Spinal Cord Evoked Potentials in the Prognosis of Spinal Cord Injury.- Treatment of Thoracic and Lumbar Spine and Spinal Cord Injuries.- Non-operative Treatment—Rehabilitation and Outcome.- Revascularisation of the Traumatised Spinal Cord: Experimental and Clinical.- Sonography of Traumatic Cranial Hemorrhage.- Drug Protection for Head Injuries.- Epilogue.

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