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DORSAL & LUMBAR FRACTURES BY : DR / AHMED MOHAMMED DEBES NEUROSURGERY RESIDENT AT AHMED MAHER TEACHING HOSPITAL CAIRO, EGYPT FRIDAY 30/05/2014

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Dorsal & lumbar fractures

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Page 1: Dorsal & lumbar fractures

DORSAL & LUMBAR FRACTURESBY : DR / AHMED MOHAMMED DEBES

NEUROSURGERY RESIDENT AT AHMED MAHER TEACHING HOSPITAL

CAIRO, EGYPT

FRIDAY 30/05/2014

Page 2: Dorsal & lumbar fractures
Page 3: Dorsal & lumbar fractures
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Ant. Column

wedging

Mid. & post.

Columns ruptured

Page 7: Dorsal & lumbar fractures

hyper flexion upper

thoracic lower spine

fixed

horizontal split

through the

spinous process,

lamina, pedicles

Page 8: Dorsal & lumbar fractures

All

columns

are

disrupte

d

Page 9: Dorsal & lumbar fractures
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Page 12: Dorsal & lumbar fractures

30 mg / kg iv within 8 hours

Updated guidelines issued in 2013 by the CNS and

the American Association of Neurological

Surgeons (AANS) recommend against the use of

steroids early after an acute SCI. The guidelines

recommend that methylprednisolone not be used

for the treatment of acute SCI within the first 24-48

hours following injury. The previous standard was

revised because of a lack of medical evidence

supporting the benefits of steroids in clinical

settings and evidence that high-dose steroids are

associated with harmful adverse effects

Page 13: Dorsal & lumbar fractures

THE ENDTHANK YOU


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