June 2018

26 year old male with spinal cord injury



History: 26 year old male presented to the trauma center following a motor vehicle collision.

Exam: Awake and alert, intubated

Sensation is intact to T4 dermatome

Motor strength is 0/5 in all extremities

Hospital Course

The patient is taken to the operating room for emergent decompression and fusion, with a planned second stage posterior approach to be performed later.

Postoperatively he remained intubated and had bicep movement graded at 2/5 on the left and 3/5 on the right.

Preop and postop CT images of the spine are shown. A follow up head CT was performed to check the status of a small parietal contusion. 

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  • Beliaev AM, Barber PA, Marshall RJ, Civil I. Denver screening protocol for blunt cerebrovascular injury reduces the use of multi-detector computed tomography angiography. ANZ J Surg. 2014 Jun;84(6):429-32. 
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  • Optimizing screening for blunt cerebrovascular injuries. Am J Surg 1999. Dec;178(6): 517-22.
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