Spinal fracture in polytrauma situation
The timing of surgical stabilization of a thoracolumbar spine fracture in a polytrauma situation is controversial. While delayed surgery was considered safe and the norm, over the last few years there is an increasing amount of literature available that supports early stabilization of the spine frac...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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Series: | Indian Spine Journal |
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Online Access: | http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=112;epage=116;aulast=Kamath |
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author | Vijay H D Kamath |
author_facet | Vijay H D Kamath |
author_sort | Vijay H D Kamath |
collection | DOAJ |
description | The timing of surgical stabilization of a thoracolumbar spine fracture in a polytrauma situation is controversial. While delayed surgery was considered safe and the norm, over the last few years there is an increasing amount of literature available that supports early stabilization of the spine fracture with good neurological and non-neurological outcomes. Adequate “resuscitation” of the patient prior to surgical intervention is of paramount importance to reduce surgery associated “second hit”. The “spine damage control” approach is a safe and appropriate management strategy in a polytrauma situation. Minimally invasive stabilization follows the principles of “damage control orthopedics” and appears to be a good surgical option. |
first_indexed | 2024-12-16T17:26:51Z |
format | Article |
id | doaj.art-2f5ab068c31e441384b2e7a103320cef |
institution | Directory Open Access Journal |
issn | 2589-5079 2589-5087 |
language | English |
last_indexed | 2024-12-16T17:26:51Z |
publishDate | 2018-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Spine Journal |
spelling | doaj.art-2f5ab068c31e441384b2e7a103320cef2022-12-21T22:23:02ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872018-01-011211211610.4103/isj.isj_24_18Spinal fracture in polytrauma situationVijay H D KamathThe timing of surgical stabilization of a thoracolumbar spine fracture in a polytrauma situation is controversial. While delayed surgery was considered safe and the norm, over the last few years there is an increasing amount of literature available that supports early stabilization of the spine fracture with good neurological and non-neurological outcomes. Adequate “resuscitation” of the patient prior to surgical intervention is of paramount importance to reduce surgery associated “second hit”. The “spine damage control” approach is a safe and appropriate management strategy in a polytrauma situation. Minimally invasive stabilization follows the principles of “damage control orthopedics” and appears to be a good surgical option.http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=112;epage=116;aulast=Kamathadequate resuscitationearly surgerypolytraumaspinal fracture |
spellingShingle | Vijay H D Kamath Spinal fracture in polytrauma situation Indian Spine Journal adequate resuscitation early surgery polytrauma spinal fracture |
title | Spinal fracture in polytrauma situation |
title_full | Spinal fracture in polytrauma situation |
title_fullStr | Spinal fracture in polytrauma situation |
title_full_unstemmed | Spinal fracture in polytrauma situation |
title_short | Spinal fracture in polytrauma situation |
title_sort | spinal fracture in polytrauma situation |
topic | adequate resuscitation early surgery polytrauma spinal fracture |
url | http://www.isjonline.com/article.asp?issn=2589-5079;year=2018;volume=1;issue=2;spage=112;epage=116;aulast=Kamath |
work_keys_str_mv | AT vijayhdkamath spinalfractureinpolytraumasituation |