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At least 847 records · Page 47Linked to original sources
PubMed1990

[Spinal injuries in accidental falls].

The case histories of 247 patients with spinal damages caused by a fall from a height are analysed. In 180 (75.3%) patients the damage to the spine was combined with traumas of other localization. The author emphasizes the specific features of the diagnosis and the tactics of management of patients with trauma attended by multiple and concurrent injuries and calling for physicians of allied specialties to take part in the examination and treatment. The methods of treatment of spinal damages are chosen strictly individually and are combined with nonoperative or operative management of injuries to other parts of the skeleton.

Accidental Falls↗
PubMed1984

[Spinal injuries without neurologic complications].

Instability of the injured spine may be bony, which allows only limited displacement, or osteo-disco-ligamentous where the potentiality for displacement is unlimited. A reasonable degree of purely bony displacement can be accepted in the spine, and only when the deformity is considerable is closed or open reduction necessary. However, osteo-disco-ligamentous instability requires operative stabilisation. There is a risk of post operative medullary complications, which can be lessened by sound surgical technique, but this has to be judged against the possibility of secondary cord damage in an unstable injury. Properly performed operations should allow the same degree of correction to be obtained in the spine as is customary in long bones. This will lessen the aesthetic and functional problems which occur secondary to the spinal deformity, and lessen the risk of onset of neurological damage arising as a result of acquired spinal stenosis.

Cervical Vertebrae↗
PubMed1999

The effect of an applied electric field on macrophage accumulation within the subacute spinal injury.

Macrophages are implicated to play a substantive role in the acute inflammatory reaction to CNS insult in the delayed progressive secondary damage to parenchyma, espacially myelin. When placed in an electrical field in vitro, macrophages show directed pseudopodial extensions and migrate towards the positive pole (anode). We have evaluated if ED1 positive macrophage accumulations in rat spinal cord injuries were affected by the applied extracellular voltage, comparing their numbers to a sham treated group. Our hypothesis was that the applied voltage may reduce the concentration of phagocytes in the central injury and thus reduce the level of secondary damage produced by them. The applied voltage gradient did not alter the number or density of macrophage accumulations in the three week lesion, nor is there any difference in the degree of cavitation between control and experimental groups.

Journal Article↗
PubMed1998

[The 'railway spine': alleged spinal injury caused by railway concussions as a basis for financial claims in 19th century England].

The diagnosis 'railway spine' was a predominantly 19th century British phenomenon, with faint echos in the Netherlands. The diagnosis was controversial. Train accidents gave rise to litigation in compensation cases in which posttraumatic symptoms with no apparent lesions were related to molecular spinal damage. Medical opinion differed about the physical or psychic nature of the symptoms. The diagnosis was strongly associated with fraudulent claims for compensation and became obsolete after 1900, when the symptoms were generally diagnosed as a functional neurosis. The railway spine controversy was a precursor of the modern discussion concerning the validation of posttraumatic symptoms.

Accidents↗
PubMed1988

Biomechanics of healing of posterior cervical spinal injuries in a canine model.

The authors performed an in vivo experiment in a canine model to study the natural history of spinal stability as a function of healing time post-injury. Three injuries, in addition to sham, were investigated: 1) transection of supra- and interspinous ligaments at C4-C5; 2) laminectomy at C4; and 3) bilateral facetectomy at C4-C5. Standardized functional flexion/extension stereo-radiographs of the cervical spine were obtained before injury and at 1, 3, 6, 9, 12, and 24 weeks postinjury. The authors found decreased ranges of motion (ROM) at the C4-C5 level for all injuries, including the sham. The decreases, in general, seemed to be in direct proportion to the severity of the injury. When the ROM were normalized to that of the sham at each time point, the relative ROM at C4-C5 increased for Injury 1, remained the same for Injury 2, and decreased for Injury 3. The relative ROM remained the same or increased at C3-C4, and increased at C5-6 for all injuries. It should be emphasized that care should be taken in extrapolating any data from this animal study to the human cervical spine.

Animals↗