The clinical picture seen in spinal cord injuries depends on the type and level of trauma. While all functions below the lesion level are lost in complete lesions, partial lesions, which have a better prognosis, have become more common with the awareness of emergency trauma teams.
About 80% of patients with spinal cord injuries are male patients. The most common age range is 16-30. When we look at the causes of occurrence, motor vehicle accidents take the first place with 44%. This is followed by assault with 24%, falls with 22%, sports injuries with 8% and other reasons with 2%.
85% of the patients who survive the first 24 hours can survive 10 years later. While the most common causes of death used to be renal failure, today they are causes related to the respiratory system.
PURPOSE OF TREATMENT
Making a correct diagnosis is the key to treatment. It is necessary to prevent situations that may cause further deterioration of the neurological condition and to prevent additional trauma that may be caused by cardiovascular or respiratory system insufficiency.
CLINICAL
The conditions that occur in spinal cord injuries are complete (incision) lesion and partial lesions. They appear as (incision) lesions.
Diagnosis and Treatment Planning:
Diagnosis is first made with information and examination obtained from the patient or his/her relatives. After the patient's vital functions such as breathing and circulation are corrected, head trauma and internal organ injuries that may be of vital importance should be investigated. Radiological examination can then be performed.
Surgical Treatment: The benefit of emergency surgery when there is no obvious pressure on the canal is controversial. Emergency surgery may be performed in cases of radicular compression, facet dislocations, severe stenosis in the canal and the presence of a foreign body. In cases where these are not present (abnormal mobility of the bone structure of the spine), surgery should be performed after the general condition of the patient is corrected.
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