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Spinal cord injury and its management 

Spinal cord injury and its management

Chapter:
Spinal cord injury and its management
Author(s):

M P Barnes

DOI:
10.1093/med/9780199204854.003.0241301_update_001

Update:

Management—emphasis on the overall benefit of management in a specialized centre.

Specific discussion of (1) uncertainty about whether a conservative or surgical approach is best; (2) use of intravesical injection of botulinum A for bladder overactivity; (3) use of nasal-sprayed cannabis for spasticity and/or pain; (4) prevention and treatment of heterotopic ossification; (5) use of goal attainment scaling (GAS) as a useful outcome measure.

Updated on 28 Nov 2012. The previous version of this content can be found here.
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date: 24 May 2017

Spinal cord injury most commonly affects young men as a consequence of road traffic accidents, violence, and sports injuries; falls are a common cause in older patients.

Appropriate management of the individual at the scene of an accident is vital to avoid unnecessary worsening of a spinal cord injury. Those who are unconscious should be assumed to have a cervical spine injury until proven otherwise, with (1) the head and neck held firmly (as far as possible) in a neutral position using (if available) a semi-rigid collar, and (2) transportation on a spinal board with a head immobilizer....

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