There is no cure for neurological damage yet in spite of progress in the treatment of spine trauma. Therefore the aim of treatment of every spinal injury is restoration of the patient to maximal possible function.
This goal implies protecting all patients until a spinal injury is definitively excluded or identified and treated.
It is important that associated injuries be identified and appropriately treated. Minimizing the errors would prevent many unwanted and preventable outcomes. management of sopinal injury requires specialized training and specialized centers. the treatment of spinal injuries also begin at the filed it self where it is first priority to identify the spinal injury and care the patient without worsening it further.
The dictum is to suspect spinal injury in truama untill proved otherwise.
In case of a patient with multiple injuries, management of spinal injuries needs a team work of field personnel, emergency physicians, general surgeons, orthopaedic surgeons, neurosurgeons, radiologists, anesthesiologists, physiatrists, and nursing personnel.
Following are the overall goals of care in a spinal injury
- Protection against further injury during evaluation and management
- Identification of spine injury or absence of it
- Restoration of spinal alignment and minimization of loss of spinal mobility
- Healed and stable spinal column
- Rehabilitation
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