Back injury

1. Back injury

3. Skeletal

4. SPINE Coccyx C 7 T 12 L 5 Sacrum

7. 1 I ntervertebral Disc

11. 3 Spinal canal and Spinal cord

12. 4 Spinal nerve

13. Level of Dermatomes

14. Common causes of back injury

28. Spine Fracture

33. Compression fracture = the downward compression of the superior endplate of the L3 = the anterior portion of the L3 vertebral body has been displaced forward

36. Burst fracture The posterior margin is displaced into the spinal canal

39. S ubluxation means Partial dislocation of a joint. A complete dislocation is a luxation C 5 /C 6

41. Stable fracture

42. Unstable fracture loss of 50% of vertebral body height; angulation of thoracolumbar junction > 20  multiple adjacent compression frx; failure of 2/3 of columns of spine ALL SPINAL INJURIES ARE UNSTABLE UNTIL PROVED OTHERWISE

45. L spine fracture with surgical stabilization

46. L 2 compression burst fracture : posterior fusion with pedicle screws ( yellow arrow ) joined by a posterior bar ( white arrow ). The pedicle screws should be entirely within the bone of the body and pedicle of the vertebral bodies.

47. L 2 burst fracture. Pedicle screws have been placed in the L1, L2, and L3 (yellow arrows) vertebral bodies.

50. the lumbar spine during the performance of a vertebroplasty procedure

51. Spinal cord injury

58. Immobilization aid Hard collar Taylor brace