| What defines a Grade A neurological injury? | No motor or sensory function detected below level of lesion | • Grade A: Complete neurological injury - No motor or sensory function detected below level of lesion • Grade B: Preserved sensation only - No motor function detected below level of lesion, some sensory function below level of lesion preserved • Grade C: Preserved motor, nonfunctional - Some voluntary motor function preserved below level of lesion but too weak to serve any useful purpose • Grade D: Preserved motor, Functionally useful voluntary motor function below level of injury • Grade E: Normal motor function - Normal motor and sensory function below level of lesion, abnormal reflexes may persist | 42 | definition | 0.980 | • Grade A: Complete neurological injury - No motor or sensory function detected below level of lesion • Grade B: Preserved sensation only - No motor function detected below level of lesion, some sensory function below level of lesion preserved • Grade C: Preserved motor, nonfunctional - Some voluntary motor function preserved below level of lesion but too weak to serve any useful purpose • Grade D: Preserved motor, Functionally useful voluntary motor function below level of injury • Grade E: Normal motor function - Normal motor and sensory function below level of lesion, abnormal reflexes may | 1 | page=1,block=14 | 0.700 | valid |
| What does Grade A neurological injury indicate? | Complete neurological injury - No motor or sensory function detected below level of lesion | • Grade A: Complete neurological injury - No motor or sensory function detected below level of lesion • Grade B: Preserved sensation only - No motor function detected below level of lesion, some sensory function below level of lesion preserved • Grade C: Preserved motor, nonfunctional - Some voluntary motor function preserved below level of lesion but too weak to serve any useful purpose • Grade D: Preserved motor, Functionally useful voluntary motor function below level of injury • Grade E: Normal motor function - Normal motor and sensory function below level of lesion, abnormal reflexes may persist | 11 | definition | 0.980 | • Grade A: Complete neurological injury - No motor or sensory function detected below level of lesion • Grade B: Preserved sensation only - No motor function detected below level of lesion, some sensory function below level of lesion preserved • Grade C: Preserved motor, nonfunctional - Some voluntary motor function preserved below level of lesion but too weak to serve any useful purpose • Grade D: Preserved motor, Functionally useful voluntary motor function below level of injury • Grade E: Normal motor function - Normal motor and sensory function below level of lesion, abnormal reflexes may |
| What does TLICS refer to? | Thoracolumbar Injury Classification and Severity | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological status • Develop treatment plan • Imaging: x-ray/CT SCAN/MRI • Surgery/ Conservative management • Rehabilitation July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 279 | definition | 0.980 | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological |
| What sensorimotor functions are assessed during a rapid examination? | ability to move fingers, hands, elbows, shoulders, hips, knees, ankles, toes | DEFINITION • Injury to any of the following -Vertebral Column and it’s adnexae (disc, ligaments, facets etc) -Spinal cord (Partial/ Complete) -Cauda Equina and nerve roots • Acute <3 weeks • Subacute 3 weeks - 3 months • Chronic >3 months • Always rule out spine injury in patients with poly-trauma, especially if unconscious • Ascertain pain in the neck, back or limbs • Rapid sensorimotor examination- ability to move fingers, hands, elbows, shoulders, hips, knees, ankles, toes • Priapism (in unconscious/unresponsive) SYMPTOMS: • Pain (neck or back) • Inability to move the limbs • Numbness • Breathing difficulty • Inability to void and defecate | 404 | summary | 0.970 | DEFINITION • Injury to any of the following -Vertebral Column and it’s adnexae (disc, ligaments, facets etc) -Spinal cord (Partial/ Complete) -Cauda Equina and nerve roots • Acute <3 weeks • Subacute 3 weeks - 3 months • Chronic >3 months • Always rule out spine injury in patients with poly-trauma, especially if unconscious • Ascertain pain in the neck, back or limbs • Rapid sensorimotor examination- ability to move fingers, hands, elbows, shoulders, hips, knees, ankles, toes • Priapism (in unconscious/unresponsive) SYMPTOMS: • Pain (neck or back) • Inability to move the limbs • Numbness • |
| What is the time frame that defines an acute spine injury? | Acute <3 weeks | DEFINITION • Injury to any of the following -Vertebral Column and it’s adnexae (disc, ligaments, facets etc) -Spinal cord (Partial/ Complete) -Cauda Equina and nerve roots • Acute <3 weeks • Subacute 3 weeks - 3 months • Chronic >3 months • Always rule out spine injury in patients with poly-trauma, especially if unconscious • Ascertain pain in the neck, back or limbs • Rapid sensorimotor examination- ability to move fingers, hands, elbows, shoulders, hips, knees, ankles, toes • Priapism (in unconscious/unresponsive) SYMPTOMS: • Pain (neck or back) • Inability to move the limbs • Numbness • Breathing difficulty • Inability to void and defecate | 174 | definition | 0.940 | DEFINITION • Injury to any of the following -Vertebral Column and it’s adnexae (disc, ligaments, facets etc) -Spinal cord (Partial/ Complete) -Cauda Equina and nerve roots • Acute <3 weeks • Subacute 3 weeks - 3 months • Chronic >3 months • Always rule out spine injury in patients with poly-trauma, especially if unconscious • Ascertain pain in the neck, back or limbs • Rapid sensorimotor examination- ability to move fingers, hands, elbows, shoulders, hips, knees, ankles, toes • Priapism (in unconscious/unresponsive) SYMPTOMS: • Pain (neck or back) • Inability to move the limbs • Numbness • |
| What is the full form of the acronym ATLS? | Advanced Trauma Life Support | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological status • Develop treatment plan • Imaging: x-ray/CT SCAN/MRI • Surgery/ Conservative management • Rehabilitation July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 7 | definition | 0.940 | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological |
| What is the full form of the acronym CT? | Computed Tomography | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological status • Develop treatment plan • Imaging: x-ray/CT SCAN/MRI • Surgery/ Conservative management • Rehabilitation July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 41 | definition | 0.940 | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological |
| What is the full form of the acronym DVT? | Deep Vein Thrombosis | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological status • Develop treatment plan • Imaging: x-ray/CT SCAN/MRI • Surgery/ Conservative management • Rehabilitation July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 67 | definition | 0.940 | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological |
| What does PLC stand for in the context of spinal injuries? | posterior ligamentous complex | Injury Category Point Value Injury Morphology Compression fracture 1 Burst fracture 2 Translation or rotation 3 Distraction 4 PLC Status posterior ligamentous complex Intact 0 Injury suspected or indeterminate 2 Injured 3 Neurological Status | 137 | definition | 0.940 | Injury Category Point Value Injury Morphology Compression fracture 1 Burst fracture 2 Translation or rotation 3 Distraction 4 PLC Status posterior ligamentous complex Intact 0 Injury suspected or indeterminate 2 Injured 3 Neurological Status | 1 | page=1,block=17 | 0.700 | valid |
| What is the full form of CT in medical terminology? | Computed Tomography | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological status • Develop treatment plan • Imaging: x-ray/CT SCAN/MRI • Surgery/ Conservative management • Rehabilitation July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 41 | definition | 0.940 | ATLS : Advanced Trauma Life Support CT : Computed Tomography DVT : Deep Vein Thrombosis LMW : Low Molecular Weight Heparin MAP : Mean Arterial Pressure MRI : Magnetic Resonance Imaging SLIC : Subaxial Injury Classification SOMI : Sternal Occipital Mandibular Immobilizer TLICS : Thoracolumbar Injury Classification and Severity TLSO : Thoracic-Lumbar-Sacral Orthosis SECONDARY CARE TERTIARY CARE PRIMARY CARE • Identify/suspect • Immobilise • Refer to higher center Where General/Orthopaedic surgeon or Neuro surgeon {trained in spine} available • Imaging: X ray/ CT SCAN • Determine neurological |