Cervical spine injuries are the mainstay of this sqadia.com medical video lecture. Among the cervical spine injuries, upper cervical spine is discussed in great detail including elaboration of occipital condyle fracture, occipitocervical dislocation, C1 ring fracture, C2 traumatic spondylolisthesis, C2 odontoid process fracture along with whiplash injury and seat-belt injuries. How to carry out proper diagnosis of cervical spine is also highlighted.
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Lecture Duration - 00:44:17
Release Date - June 2019
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CERVICAL SPINE DIAGNOSIS
While assessing cervical spine injuries, history of fall from a height or an accident is suspected. Among the imaging techniques, plain X-rays of high quality are advised for diagnosis. In lateral view of X-ray, all the seven cervical vertebrae must be included along with upper half of T1. Likewise, anteroposterior view is also highlighted. Lastly, Dr. Hammad Haider highlights the diagnostic pitfalls in children.
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UPPER CERVICAL SPINE
Diagnosis of occipital condyle fracture can be missed on plain X-ray. For diagnosing another high energy injury i.e. occipitocervical dislocation, CT scans are more reliable. After that, C1 ring fracture along with rule of spence comes under consideration. C2 traumatic spondylolisthesis is also discussed in detail whose stability is determined by C2/3 disc status. This is followed by C2 odontoid process fracture. Then classification of odontoid fractures is represented which is based on Anderson and D’alonzo classification.
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WHIPLASH INJURY
Clinical features of whiplash injury encompass neck pain and stiffness radiating towards shoulders, paraesthesiae in the arms, tinnitus. X-rays and MRI are carried out for diagnosis. Moreover, Dr. Hammad Haider also talks about diagnosis of seat-belt injuries. After that, proposed grading of whiplash-associated injury is elaborated on the basis of symptoms experienced by the patient. Simple pain-relieving measures are addressed for the treatment purpose. Comments are also given on whiplash-associated disorder.
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