General Management Principles

Injury to this segment of the spine, as in other segments, involves maximization of neurological recovery, stabilization to minimize pain and subsequent deformity and early mobilization for potential rehabilitation. These goals are accomplished along a spectrum of therapies, which range from conservative treatment with bed rest to early mobilization with a brace or after surgical intervention. As discussed previously, initial management goals include maintenance of spinal alignment, treatment and stabilization of concurrent injuries and prevention of complications such as deep vein thrombosis, urinary tract infections, pneumonia and skin breakdown. These complications can be avoided by the use of bladder catheterization, frequent patient repositioning and aggressive pulmonary toiletry.

The decision to institute surgical treatment depends on many factors. Among them, the patient's neurological condition, evidence of instability, clinical and radiographic findings of cord compression and the overall condition of the patient, including age and associated co-morbidities. It has been shown in numerous studies that instrumentation reduces the incidence of pseudoarthrosis, prevents progression of spinal deformity such as kyphosis and allows patients to be mobilized earlier, decreasing hospital time and minimizing post-operative complications such as atelectasis and thrombosis.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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