Distraction (Seat Belt) & Fx/Dislocation


Background

Anatomy

Mechanism of injury

Stability

Pearls


Acute Treatment

  1. Trauma ABCs
  2. Immobilization
  3. If intubation required
  4. Continue with primary survey
  5. For spinal cord injury:
  6. Other issues
  7. Reduction of fracture (Neurosurg / ortho)

Disposition

  1. Admit
  2. Surgical intervention (reduction/ decompression/ fusion)
      • Incomplete injury with worsening neuro exam
      • Incomplete deficits with an irreducible fracture
      • Severely unstable fracture with complete deficit
        • Allows earlier mobility