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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Main Author: Vijay H D Kamath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Spine Journal
Subjects:
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.
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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