29 years lady was sitting in auto rickshaw which was struck by a car from behind. THe woman was thrown out of the auto rickshaw and the auto rickshaw fell on the lady.
She was brought to casualty of our hospital and found have injured her pelvis and spine along with paraplegia.
The xray in picture is lateral view of the spine and shows fracture of L3 vertebra.
MRI of the spine revealed a retropulsed fragment as well. She was operated upon and the spine was stabilized using pedicle screw system.
did the stabilization reliefed the paraplegia?????
what is the prognosis about paraplegia in such case???
what is the best first aid and what about role of corticosteroid and its effect on prognosis???
Dr Arun Pal Singh Reply:
August 30th, 2010 at 7:57 pm
@dr. moataz radwan,
The patient is showing recovery. The prognosis would depend upon severity of injury. Usually lumbar injuries have better prognosis than thoracic.
Dr Arun Pal Singh Reply:
August 30th, 2010 at 8:00 pm
@dr. moataz radwan,
Please go through the spine injuries section where you would find information of primary management of spinal injuries.
Corticosteroid role is controversial in lumbar injuries. Many studies have not found much evidence.