| What is the definition of a spine injury? | 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 | 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 | 13 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 • | 1 | page=1,block=3 | 0.700 | valid |
| What is the neurological status in Grade A of spinal injury classification? | 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 | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | • 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 a rapid sensorimotor examination evaluate in spine injury cases? | 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 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 a rapid sensorimotor examination used to assess in spine injury cases? | 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 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 duration classification for 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 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 distinguishes Grade C from Grade B in spinal injury classification? | Some voluntary motor function preserved below level of lesion but too weak to serve any useful purpose | • 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 | 288 | comparison | 0.920 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | • 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 distinguishes Grade D from Grade C in spinal injury classification? | Functionally useful voluntary motor function below level of injury | • 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 | 419 | comparison | 0.920 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | • 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 ATLS stand for? | 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 | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 DVT refer to? | 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 | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 LMW stand for? | Low Molecular Weight Heparin | 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. | 94 | definition | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645068_3_spinal_injury.pdf | 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 |