Summary of Key Points • Sagittal plane imbalance resulting from spondylolisthesis is often a greater cause of disability than the spondylolisthesis itself. • The generally accepted means of surgical treatment…
Summary of Key Points • Condyle fractures can be a form of atlanto-occipital dislocation and may need to be managed surgically when there is alar ligament disruption or neural compression….
Summary of Key Points • Imaging the spine after trauma should be rapid, accurate, and performed in concordance with the primary and secondary trauma survey. • High-quality computed tomography imaging…
Summary of Key Points • Subaxial cervical spine injuries encompass a broad spectrum of acute traumatic injuries. • Assessment of spinal stability and injury classification facilitates management. • Adequate decompression…
Summary of Key Points • All patients with injuries to the spinal column will require appropriate nonoperative management during their care. • The majority of spine fractures can be managed…
Summary of Key Points • Occipitocervical injuries should always be suspected in cases of high-impact trauma. • It is relevant to evaluate for additional injuries. • Special attention should be…
Summary of Key Points • Patients with suspected spinal cord injury (SCI) require early immobilization, assurance of oxygenation through in-line endotracheal intubation, maintenance of adequate spinal cord perfusion through hemodynamic…
Summary of Key Points • Low lumbar fractures below L3 do not behave like thoracolumbar injuries. • Neurologic deficits are not as common as thoracolumbar injuries. • Sagittal alignment is…
Summary of Key Points • Cervical facet dislocations are associated with high-energy trauma to the spine. • Cervical facet dislocations may be treated by closed reduction, open posterior reduction and…
Summary of Key Points • The five categories of on-field management are (1) preparation for any neurologic injury, (2) suspicion and recognition, (3) stabilization and safety, (4) immediate treatment and…
