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    Fracturepelvisandspine-160414152501 (Autosaved)

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    074 Khola Waqar
    This document discusses fractures of the pelvis and spine. It describes: 1) Types of pelvic fractures including stable (Type A) and unstable fractures (Types B and C) based on the Tile classification system. 2) Management of pelvic fractures includes aggressive treatment, imaging like x-rays and CT scans, and specific treatments depending on fracture type including ORIF and external fixation. 3) It also discusses acetabular fractures, their classification based on involvement of anterior/posterior columns, and injuries to the spine including stable fractures treated non-operatively versus unstable fractures requiring surgery.

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    Fracturepelvisandspine-160414152501 (Autosaved)

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    074 Khola Waqar
    3 views33 pages
    This document discusses fractures of the pelvis and spine. It describes: 1) Types of pelvic fractures including stable (Type A) and unstable fractures (Types B and C) based on the Tile classification system. 2) Management of pelvic fractures includes aggressive treatment, imaging like x-rays and CT scans, and specific treatments depending on fracture type including ORIF and external fixation. 3) It also discusses acetabular fractures, their classification based on involvement of anterior/posterior columns, and injuries to the spine including stable fractures treated non-operatively versus unstable fractures requiring surgery.

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    This document discusses fractures of the pelvis and spine. It describes: 1) Types of pelvic fractures including stable (Type A) and unstable fractures (Types B and C) based on the Tile classification system. 2) Management of pelvic fractures includes aggressive treatment, imaging like x-rays and CT scans, and specific treatments depending on fracture type including ORIF and external fixation. 3) It also discusses acetabular fractures, their classification based on involvement of anterior/posterior columns, and injuries to the spine including stable fractures treated non-operatively versus unstable fractures requiring surgery.

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    3 views33 pages

    Fracturepelvisandspine-160414152501 (Autosaved)

    Uploaded by

    074 Khola Waqar
    This document discusses fractures of the pelvis and spine. It describes: 1) Types of pelvic fractures including stable (Type A) and unstable fractures (Types B and C) based on the Tile classification system. 2) Management of pelvic fractures includes aggressive treatment, imaging like x-rays and CT scans, and specific treatments depending on fracture type including ORIF and external fixation. 3) It also discusses acetabular fractures, their classification based on involvement of anterior/posterior columns, and injuries to the spine including stable fractures treated non-operatively versus unstable fractures requiring surgery.

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    of 33

    Fracture pelvis and spine

    Pelvic Fractures
    • Pelvic fracture is a high energy trauma ,
    as a result of MVA, fall .
    •Classifications. ( Tile)
    Type A. Stable
    A 1. fractures of the pelvic not involving the
    Ring.
    A 2 . Stable , minimally displaced fracture of
    the Ring .
    • Type B. Rotationally Unstable ,Vertically
    Stable.
    B1. Open Book

    B2 . Lateral Compression : Ipsilateral

    B3. Lateral Compression :Contra lateral


    • Type C. Rotationally and Vertically Unstable

    C1 . Unilateral

    C2 . Bilateral

    C3 .
    Associated
    with
    MANEGEMENT
    • Aggressive treatment .

    • Obtain X-Ray: AP pelvic, Inlet ,outlet ,Ct Scan.


    Treatment
    • Aggressive treatment . By A.B.C.D.
    • Obtain X-Ray: AP pelvic, Inlet ,outlet
    • Ct Scan.
    • Think in systemic approach.
    • Specific treatment:
    type A . symptomatic treatment
    type B .ORIF with plates& screws ,External Fix.
    Type C . ORIF with plates & screws. Both AP.
    Acetabular fracture
    • Usually it is a result of high- energy trauma .
    • The acetabulum is divided into four
    segments—an anterior column and wall (rim)
    and a posterior column and wall (rim). .
    Fractures of the acetabulum are classified
    based on their involvement of these
    structures .
    classification Letournel and Judet
    Fractures of the Spine
    of vertebrae is maintained by :
    ♥ strong ligaments :
    ant. & post. longitudinal lig.
    interspinus ,supraspinus

    lig., and ligamentum flavum


    ♥ articular facets :
    vertical in D L
    vertebrae horizontal in
    Cx vertebra
    Types of fracture spine

    ♥ stable fr. : wedge fr.


    comminuted fr.
    ♥ unstable fr. : fr. dislocation.

    Usually caused by :
    - hyper flexion injury,
    - vertical compression,
    - rarely hyper-extension .
    Complications
    ♥
    PARAPLEGIA

    ♥ in unstable fr. dislocations, complete trans-section


    of the cord may occur, leading to permanent
    paraplegia, with its dangerous complications of
    prolonged bed recumbency .
    Treatment
    ♥ 1st. aid : patient
    transferred with max. care
    to prevent cord injury.

    ♥ Stable fr. : bed rest,


    then back support
    brace.

    ♥ Unstable fr. : O.R.I.F. + cord


    decompression.
    Injuries of the cervical spine
    ♥ pure dislocation may occur
    without fracture, due to
    horizontal position of articular
    facets.
    Hanging

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