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Of spine injuries, only 0.01% [7] are unstable and require intervention (either surgery or a spinal orthosis). [8] Some authors argue that use of spinal precautions is controversial because benefit is unclear and there are significant drawbacks including pressure ulcers, increased pain, and delayed transport times.
A spinal board is primarily indicated for judicious use to transport people who may have had a spinal injury, usually due to the mechanism of injury, and the attending team are not able to rule out a spinal injury. [11] The person should be transferred from the board to a hospital bed as soon as possible. [11]
The first planned spinal anaesthesia for surgery on a human was administered by August Bier (1861–1949) on 16 August 1898, in Kiel, when he injected 3 ml of 0.5% cocaine solution into a 34-year-old labourer. [14] After using it on six patients, he and his assistant each injected cocaine into the other's spine. They recommended it for ...
Combined spinal-epidural anaesthesia is a highly specialised technique which should only be administered by a properly trained anaesthetic practitioner working with full aseptic technique. [citation needed] The needle-through-needle technique involves the introduction of a Tuohy needle (epidural needle) into the epidural space. The standard ...
Lumbar spinal stenosis (LSS) is a medical condition in which the spinal canal narrows and compresses the nerves and blood vessels at the level of the lumbar vertebrae. Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic spinal stenosis. Lumbar spinal stenosis can ...
Methods to decrease surgical site infections in spine surgery include the application of antiseptic skin preparation (a.g. Chlorhexidine gluconate in alcohol which is twice as effective as any other antiseptic for reducing the risk of infection [9]), judicious use of surgical drains, prophylactic antibiotics, and vancomycin. [10]
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The most common nerve injuries during surgery occur in the upper and lower extremities. [1] Injuries to the nerves in the arm or shoulder can result in numbness, tingling, and decreased sensory or muscular use of the arm, wrist, or hand. [1] Many operating room injuries could be solved by simply restraining the arms and legs. [1]