©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
ATLS 10th Edition - Spine Trauma Exam Study Guide Solutions
Spinal Trauma
Cervical
Thoracic
Thoracolumbar - Ans:✔✔-Cervical - 55%
Thoracic - 15%
Thoracolumbar 15%
lumbosacral area - 15 %
Cervical Spine Fracture:
Incidence of non contiguous fracture - Ans:✔✔-Up to 10% of patients with a cervical spine fracture have
a second, noncontiguous vertebral column fracture.
Paediatric Cervical Spine
Anatomical Differences - Ans:✔✔-C spine injury is rare
C1 - C4 injuries are twice as soon than lower C Spine injuries
Page 1/5
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Spinal shock - Ans:✔✔-Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that
occur immediately after spinal cord injury. After a period of time, spasticity ensues
Central cord syndrome - Ans:✔✔-1. disproproportionately greater loss of motor strength in the upper
extremities than in the lower extremities, with varying degrees of sensory loss.
hyperextension injury in a patient with preexisting cervical canal stenosis.
The mechanism is commonly that of a forward fall resulting in a facial impact.
with or without cervical spine fracture or dislocation.
The prognosis for recovery is somewhat better than with other incompete injuries.
elderly, who have underlying spinal stenosis and sufer a ground-level fall
Anterior cord syndrome - Ans:✔✔-anterior part of the cord.
It is characterized by paraplegia and a bilateral loss of pain and temperature sensation.
However, sensation from the intact dorsal column (i.e., position, vibration, and deep pressure sense) is
preserved.
This syndrome has the poorest prognosis of the incomplete
Due to cord ischaemia
Page 2/5
FIRST PUBLISH OCTOBER 2024
ATLS 10th Edition - Spine Trauma Exam Study Guide Solutions
Spinal Trauma
Cervical
Thoracic
Thoracolumbar - Ans:✔✔-Cervical - 55%
Thoracic - 15%
Thoracolumbar 15%
lumbosacral area - 15 %
Cervical Spine Fracture:
Incidence of non contiguous fracture - Ans:✔✔-Up to 10% of patients with a cervical spine fracture have
a second, noncontiguous vertebral column fracture.
Paediatric Cervical Spine
Anatomical Differences - Ans:✔✔-C spine injury is rare
C1 - C4 injuries are twice as soon than lower C Spine injuries
Page 1/5
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Spinal shock - Ans:✔✔-Spinal shock refers to the flaccidity (loss of muscle tone) and loss of relexes that
occur immediately after spinal cord injury. After a period of time, spasticity ensues
Central cord syndrome - Ans:✔✔-1. disproproportionately greater loss of motor strength in the upper
extremities than in the lower extremities, with varying degrees of sensory loss.
hyperextension injury in a patient with preexisting cervical canal stenosis.
The mechanism is commonly that of a forward fall resulting in a facial impact.
with or without cervical spine fracture or dislocation.
The prognosis for recovery is somewhat better than with other incompete injuries.
elderly, who have underlying spinal stenosis and sufer a ground-level fall
Anterior cord syndrome - Ans:✔✔-anterior part of the cord.
It is characterized by paraplegia and a bilateral loss of pain and temperature sensation.
However, sensation from the intact dorsal column (i.e., position, vibration, and deep pressure sense) is
preserved.
This syndrome has the poorest prognosis of the incomplete
Due to cord ischaemia
Page 2/5
