Articles Tagged With: spinal
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Advances in Pediatric Neck Trauma: What’s New in Assessment and Management?
Although rare, pediatric neck trauma may have devastating consequences. The author provides current information on recognizing and managing pediatric neck trauma.
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Pooled Malpractice Data Show True Prevalence of ED Claims
A decade’s worth of malpractice claims data allowed three Phoenix-based ED groups to improve care of spinal epidural abscess patients.
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Are Steroids Indicated in the Treatment of Acute Spinal Cord Injury?
In a comprehensive review of published literature and meta-analysis of clinical trials of acute spinal cord injury treatment with high-dose steroids within eight hours of onset, the authors concluded that there is no benefit regarding neurological recovery and function and an increased risk of adverse side effects from gastrointestinal bleeding.
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Febrile Urinary Tract Infection in Young Infants — Value of Spinal Fluid Analysis
Practices vary significantly as clinicians evaluate and manage febrile infants younger than 2 months of age. A retrospective review suggests that meningitis is extremely unlikely in well-appearing babies with initial laboratory results suggestive of urinary tract infection, and that cerebrospinal fluid analysis may not be necessary.
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Does This Older Patient Have a Spinal Fracture? Evaluation and Management of Spinal Fractures in Older Adults
Older adults present unique challenges for the clinician. Missing a spinal fracture can have devastating consequences for this more fragile population. The authors review the clinical presentation, injury patterns, and unique considerations for imaging and management of spinal fractures in older adults.
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Spinal Epidural Abscess
Non-operative management of spinal epidural abscess is safe and effective in selected patients.
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Spinal Manipulative Therapy for Acute Low Back Pain
Spinal manipulative therapy for acute low back pain may provide some benefit, but carries a significant risk of treatment-associated pain.
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Spinal Cord Injury
The spinal cord, although well protected, can be injured in a variety of ways, including motor vehicle collisions and sporting events. The inability of the neurons to regenerate, and their sensitivity to anoxia and hypoperfusion, makes the timely diagnosis and treatment of spinal cord injury imperative to preserve as much function as possible. This article will cover the basic epidemiology, physiology, and treatments for spinal cord injury in an attempt to prepare the reader to manage these complex injuries.
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The Initial Evaluation and Clearance of Spinal Injuries in Emergency Medical Practice
The initial evaluation and management of patients with potential spinal injuries in emergency medicine practice is in evolution. The authors thoughtfully explore the evidence available and its limitations.
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Intraoperative Neurophysiologic Monitoring: Does it Change the Outcome from Spinal Surgery?
In non-complex spine surgeries (spinal decompression and spinal fusion), intraoperative neurophysiologic monitoring improved clinical outcomes and reduced the risk of neurological complications by nearly one-half (49%).