Fratura cervical
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Transcript of Fratura cervical
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COLUNA CERVICAL
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COLUNA CERVICAL
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COLUNA CERVICAL
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FRATURAS CONDILO OCCIPITALCLASSIFICACAO ANDERSON E
MONTESANO
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FRATURAS CONDILO OCCIPITAL
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NORONHA, Henrique Gomes et al . Fraturas do côndilo occipital: atualização da experiência em nosso serviço e revisão da literatura. Coluna/Columna, São Paulo , v. 12, n. 2, p. 157-159, 2013 . Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512013000200014&lng=en&nrm=iso>. access on 24 Nov. 2015. http://dx.doi.org/10.1590/S1808-18512013000200014.
Colar tipo Philadelphia para casos classificados como do tipo I e II de Anderson e Montesano
Imobilização mais rígida, como halo gesso ou gesso Minerva pra as fraturas classificadas como tipo III
Tratamento cirúrgico: casos de instabilidade persistente.
FRATURAS CONDILO OCCIPITAL
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FRATURAS DO ATLAS
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Fratura de Jefferson: massas laterais de C1 se afastam, rompendo o anel ósseo de C1.
RX: massas laterais de C1 ultrapassem as bordas do corpo de
C2.
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Fratura de Jefferson:
Frequentemente associada a fratura de C2. Não visualizada no Rx de perfil.
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Fratura de Jefferson: Ruptura do ligamento transverso?
Metodo de Spencer: Soma do deslocamento >7mm
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Fratura de Jefferson: Estável
Tração craniana com imobilização cervical por 3 – 4 meses
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Fratura de Jefferson: Instavel
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FRATURA DE ODONTOIDE
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Fratura de processo odontóide: Flexão secundária a trauma violento.
Tipo I: Frequentemente lesão acima do Lig. Transverso.
Tipo II: base. Mais frequente e pior calcificaçãoTipo III: corpo.
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Fratura de processo odontóide
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Fratura de processo odontóide
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Fratura de processo odontóide: Fatores de risco para a não consolidação
idade maior de 50 Fratura cominutiva desvio posterior e grande afastamento dos fragmentos ósseos (maior do que 5 mm)Angulação maior do que 10 graus.
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Fratura do enforcado: fratura dos elementos posteriores do corpo de C2, geralmente associada a deslocamento anterior do corpo de C2 sobre C3.
Elementos posteriores fraturados e deslocados para baixo.
Linha espinolamin
al interrompid
a em C2.
Fratura através dos elementos posteriores
de C2.
Espondilolistese traumatica de c2
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Fratura do enforcado: Rx de perfil seriam diagnósticas em 95% dos casos.
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Classificação de Levine e Edwards
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Fratura explosiva:
Potencial para causar lesão medular.Perda da altura do corpo vertebral.Aumento da distância interpedicular.TC: fratura cominutiva do corpo vertebral associada a fratura de elementos posteriores.
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Fratura em flexão do tipo “em Lágrima”:
Ruptura dos ligamentos posteriores associada à compressão anterior. Deslocamento da porção posterior do corpo vertebralMergulho em águas rasas.
Corpo de C7 em forma de cunha anteriormente,
associado a discreto deslocamento da linha vertebral
posterior em C7.
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Fratura em flexão do tipo “em Lágrima”:
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Lesões cervicais baixas C3-C7
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Lesões cervicais baixas C3-C7
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Lesões cervicais baixas C3-C7
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Subaxial Cervical Spine Injury Classification (SLIC)