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Thoracic and Lumbar Spine and Spinal Cord Injuries (Paperback, 1987 ed.)
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Thoracic and Lumbar Spine and Spinal Cord Injuries (Paperback, 1987 ed.)
Series: Advances in Neurotraumatology, 2
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Owing to their frequency and possible consequences and considering
the fact they frequently affect young people, trauma tic lesions of
the thoraco lumbar spine represent a special point of interest
within the field of Neurotraumatology. Traffic accidents are the
commonest cause, which accounts for the high peak of occurrence
between 15 and 24 years of age. It is also worth noting that
according to published series nearly 50% ofthe cases affect the
thoraco-lumbar junction. From an anatomical point of view, we must
note the severity of thoracic spinal cord lesions especially of the
thoraco-lumbar junction and of the lumbar region and be able to
associate injuries ofthe conus medullaris and of the ca uda equina
where there is a possibility of neurological recovery. Clinical
evaluation is not always easy, but remains the basis for diagnosis
and prognosis. The neurological classification proposed by FRANKEL
et al. in 1969 and used at STOKE MANDEVILLE Hospital seems to
retain its value. A more sophisticated study of medullary evoked
potentials, as described by TsUBOKAWA can allow a more precise
localisation and appreciation of the extent ofthe lesion as well as
a better evaluation ofthe prognosis and ofthe evaluation of
treatment in the acute phase. The neuro-radiological study should
include standard views ofthe whole of the spine with
antero-posterior and lateral tomograms of the fractured or luxated
area. At present, the unquestionable contribution of the CT.
General
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