By Grundy, Beckinham, Andrew Haines, Anna Donald, David Grundy, Andrew Swain
Spinal twine trauma is most likely the main devastating final result of harm to the backbone. This well-established, useful consultant presents an in depth review from the scene of the coincidence to rehabilitation and discharge from health center care. This most up-to-date variation has been considerably rewritten to incorporate the latest advancements in sensible administration of sufferers with strength backbone harm and risk-minimisation suggestions. there's additionally a brand new bankruptcy on spinal twine harm in constructing international locations.
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Extra resources for ABC of Spinal Cord Injury
In: Lorenz MA, ed. Spine: state of the art reviews. Spinal fracture-dislocations, vol 7. Philadelphia: Hanley and Belfus, 1993 Karlsson AK. Autonomic dysreflexia. Spinal Cord 1999;37:383–91 Schmidt SA, Kjaersgaard-Andersen, Pedersen NW, Kristensen SS, Pedersen P, Nielsen JB. The use of indomethacin to prevent the formation of heterotopic bone after total hip replacement. J Bone Joint Surg 1988;70A:834–8 Tator CH, Duncan EG, Edmonds VE, Lapczak LI, Andrews DF. Neurological recovery, mortality and length of stay after acute spinal cord injury associated with changes in management.
15 Self-catheterisation of a Mitrofanoff stoma. 39 ABC of Spinal Cord Injury Mixed faecal and urinary incontinence Further reading Cauda equina lesions causing sphincter weakness frequently result in mixed faecal and urinary incontinence. This may have a devastating impact on rehabilitation, and the urologist should not consider involuntary urinary loss in isolation. Malone described the effectiveness of the antegrade colonic (continence) enema (ACE) in children with meningomyelocoele, and it may be helpful in managing sphincter weakness faecal incontinence secondary to cauda equina or conus injury.
Unfortunately, some patients will not be fit enough for immediate transfer because of multiple injuries or severe respiratory impairment. In such cases it is advisable to consult, and perhaps arrange a visit by, a spinal injuries consultant. Transfer to a spinal injuries centre is most easily accomplished by means of a Stryker frame, which can be fitted with a constant tension device for skull traction. The RAF pattern turning frame is similarly equipped and was specifically developed for use by the Royal Air Force.