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- W1900738045 abstract "Editor—Meek is right to highlight the potential danger of missing fractures of the thoracolumbar spine in patients with trauma if the need for x ray investigations is based purely on the clinical examination. But he is wrong to say that the Advanced Trauma Life Support Manual for Physicians “does not recognise the importance of a distracting injury in masking the symptoms and signs of spinal fracture.”1I believe that the quotation he gave was from the introductory section of the chapter on spinal trauma. The following quotes are from the same chapter.2 “Any patient with an altered level of consciousness or cognitive dysfunction (GCS <15), multisystem injuries, ... requires spinal protection until AP [anteroposterior] and lateral [thoracolumbar] spine x-rays are obtained to exclude any injury.” “In the secondary survey ... thoracolumbar spine films may be obtained ... if the mechanism of injury suggests the possibility of spinal injury.” “Other injuries may mask the physical findings of spinal injuries, which may go unsuspected unless the doctor obtains the appropriate x-rays.”The work of Cooper et al quoted in the article is also referenced at the end of the relevant chapter in the manual.3" @default.
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- W1900738045 title "Fractures of the thoracolumbar spine in major trauma patients" @default.
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- W1900738045 doi "https://doi.org/10.1136/bmj.318.7193.1287a" @default.
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