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ATLS(® )and damage control in spine trauma

Substantial inflammatory disturbances following major trauma have been found throughout the posttraumatic course of polytraumatized patients, which was confirmed in experimental models of trauma and in vitro settings. As a consequence, the principle of damage control surgery (DCS) has developed over...

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Autores principales: Schmidt, Oliver I, Gahr, Ralf H, Gosse, Andreas, Heyde, Christoph E
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660300/
https://www.ncbi.nlm.nih.gov/pubmed/19257904
http://dx.doi.org/10.1186/1749-7922-4-9
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author Schmidt, Oliver I
Gahr, Ralf H
Gosse, Andreas
Heyde, Christoph E
author_facet Schmidt, Oliver I
Gahr, Ralf H
Gosse, Andreas
Heyde, Christoph E
author_sort Schmidt, Oliver I
collection PubMed
description Substantial inflammatory disturbances following major trauma have been found throughout the posttraumatic course of polytraumatized patients, which was confirmed in experimental models of trauma and in vitro settings. As a consequence, the principle of damage control surgery (DCS) has developed over the last two decades and has been successfully introduced in the treatment of severely injured patients. The aim of damage control surgery and orthopaedics (DCO) is to limit additional iatrogenic trauma in the vulnerable phase following major injury. Considering traumatic brain and acute lung injury, implants for quick stabilization like external fixators as well as decided surgical approaches with minimized potential for additional surgery-related impairment of the patient's immunologic state have been developed and used widely. It is obvious, that a similar approach should be undertaken in the case of spinal trauma in the polytraumatized patient. Yet, few data on damage control spine surgery are published to so far, controlled trials are missing and spinal injury is addressed only secondarily in the broadly used ATLS(® )polytrauma algorithm. This article reviews the literature on spine trauma assessment and treatment in the polytrauma setting, gives hints on how to assess the spine trauma patient regarding to the ATLS(® )protocol and recommendations on therapeutic strategies in spinal injury in the polytraumatized patient.
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spelling pubmed-26603002009-03-25 ATLS(® )and damage control in spine trauma Schmidt, Oliver I Gahr, Ralf H Gosse, Andreas Heyde, Christoph E World J Emerg Surg Review Substantial inflammatory disturbances following major trauma have been found throughout the posttraumatic course of polytraumatized patients, which was confirmed in experimental models of trauma and in vitro settings. As a consequence, the principle of damage control surgery (DCS) has developed over the last two decades and has been successfully introduced in the treatment of severely injured patients. The aim of damage control surgery and orthopaedics (DCO) is to limit additional iatrogenic trauma in the vulnerable phase following major injury. Considering traumatic brain and acute lung injury, implants for quick stabilization like external fixators as well as decided surgical approaches with minimized potential for additional surgery-related impairment of the patient's immunologic state have been developed and used widely. It is obvious, that a similar approach should be undertaken in the case of spinal trauma in the polytraumatized patient. Yet, few data on damage control spine surgery are published to so far, controlled trials are missing and spinal injury is addressed only secondarily in the broadly used ATLS(® )polytrauma algorithm. This article reviews the literature on spine trauma assessment and treatment in the polytrauma setting, gives hints on how to assess the spine trauma patient regarding to the ATLS(® )protocol and recommendations on therapeutic strategies in spinal injury in the polytraumatized patient. BioMed Central 2009-03-03 /pmc/articles/PMC2660300/ /pubmed/19257904 http://dx.doi.org/10.1186/1749-7922-4-9 Text en Copyright © 2009 Schmidt et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Schmidt, Oliver I
Gahr, Ralf H
Gosse, Andreas
Heyde, Christoph E
ATLS(® )and damage control in spine trauma
title ATLS(® )and damage control in spine trauma
title_full ATLS(® )and damage control in spine trauma
title_fullStr ATLS(® )and damage control in spine trauma
title_full_unstemmed ATLS(® )and damage control in spine trauma
title_short ATLS(® )and damage control in spine trauma
title_sort atls(® )and damage control in spine trauma
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660300/
https://www.ncbi.nlm.nih.gov/pubmed/19257904
http://dx.doi.org/10.1186/1749-7922-4-9
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