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Dive deep into the complex world of spinal injuries with this comprehensive medical lecture from Santiniketan Medical College & Hospital. Presented by Dr. B. Ray, Assistant Professor in the Department of Orthopaedics, this video is an essential resource for medical students, healthcare professionals, and anyone interested in understanding spinal trauma. 👨⚕️ What You'll Learn in This Lecture: Understanding Spinal Trauma [00:00]: Explore common causes of spinal injuries, including high-impact accidents and age-related conditions like osteoporosis. Anatomy & Function of the Spine [00:36]: A detailed overview of the spine's vital roles in movement, flexibility, and protecting the spinal cord and nerves. Types of Spinal Injuries [01:09]: Differentiate between bony column injuries (e.g., compression fractures, subluxation) and severe spinal cord injuries involving cutting, compression, or stretching of the cord. Epidemiology & Risk Factors [02:45]: Gain insights into the prevalence and common causes of spinal cord injuries, particularly cervical spine trauma from road traffic accidents. Classification & Instability [04:09]: Learn about the ASIA Impairment Scale (A-E) for classifying injury severity, patterns of multiple injuries, and concepts of acute versus chronic clinical instability. Pathophysiology & Mechanisms of Injury [09:32]: Understand how primary forces (hyperextension/hyperflexion) and secondary injury mechanisms (systemic shock, microcirculatory changes, biochemical damage) affect neurological outcomes. Clinical Features & Diagnosis [12:08]: Identify key symptoms of spinal injury, from pain and breathing difficulty to paralysis. Discover how to clinically assess motor, sensory, and radiographic levels of cord injury. Advanced Investigations [14:09]: Explore diagnostic tools like X-rays, CT scans, and MRIs, and the importance of screening for spinal injuries in poly-trauma patients. Understand SCIWORA (Spinal Cord Injury Without Radiographic Abnormality). Comprehensive Management Strategies [19:49]: This section covers both pre-hospital management (ABCD protocol, immediate immobilization) and hospital management, including conservative approaches (traction) and various surgical interventions. Surgical Techniques [22:50]: Get an overview of procedures such as surgical decompression, stabilization, spinal fusion, fixation of vertebrae, discectomy, foraminotomy, laminectomy, and artificial disc implantation, illustrated with radiological images. Potential Complications & Rehabilitation [25:59]: Learn about potential post-injury and post-surgical complications, and the critical role of comprehensive rehabilitation (physiotherapy, occupational therapy) in patient recovery and reintegration into society. Various braces and their applications (cervical collars, thoracolumbosacral orthoses) are also discussed. Prognosis & Outcomes [28:35]: Understand factors influencing the prognosis of spinal injuries, highlighting the differences between incomplete and complete neurological deficits. This video is an invaluable resource for anyone seeking a thorough understanding of spinal cord injury from initial trauma to long-term rehabilitation. SANTINIKETAN MEDICAL COLLEGE & HOSPITAL Real Classroom Demonstration/Lecture On: ORTHOPAEDICS by Dr. Rwik Roy (MBBS Batch: 2021-22) Conducted on: 25-10-25