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A 21-year-old patient is evaluated in the trauma bay after a motor vehicle accident. He was found to have a GCS of 3 on the scene and is presently intubated. His bulbocavernosus reflex is not intact. Radiographs and representative CT scan sequences are shown in Figures A through E. What is the next best step in management?
Closed reduction under anesthesia
Open reduction under anesthesia
Closed reduction with internal stabilization
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Cervical facet dislocations are characteristically caused by which of the following mechanisms of injury?
An awake and cooperative patient presents to the emergency room with the injury seen in the CT scan in Figure A. Prior to the CT scan he had an ASIA Impairment Scale of E. Upon returning from the CT scanner he has an ASIA Impairment Scale of D. What is the most appropriate first step in management?
Immediate closed reduction with cervical traction
Immediate anterior open reduction and surgical fixation
Spinal dose steroids
Cervical immobilization, observation, and serial neurologic exams
A 35-year-old female is involved in a high speed motorcycle crash. Work-up reveals the presence of an open right femur fracture, and neck pain. A CT scan of the cervical spine is obtained and shows a right sided C6/7 facet dislocation. Which of the following images is most representative of this injury?
HPI - The patient is a 32-year-old male mechanic that fell 8 mm from a tree in late December. Since then he has had persistent and severe neck pain, paresthesia in this middle and index finger, and reports his right hand no longer has the strength it use to.
How would you approach this, anterior or posterior. We are in Nicaragua and have very few implants available.
HPI - The patient is a 30-yearmale that was a restrained driver in an MVA. There was no LOC. Her was brought to the ER via an ambulance. On presentation he had symptoms of mild neck pain and numbness and tingling in his right hand. He denied subjective wea