The sine qua non in the management of cervical spinal cord injuries is immobilization. The patient should not be moved from the stretcher on which he is carried to the Emergency Room until an examination is performed, x-rays are taken and skeletal traction is instituted. In a restless patient, temporary head holder traction may be used to immobilize the patient’s neck during the physical and x-ray examinations. If the patient with multiple injuries including a cervical cord injury has any air way difficulties, a tracheostomy is much safer than endotracheal intubation.
KeywordsCervical Spine Compound Fracture Spinous Process Cervical Spinal Cord Injury Operative View
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