- Joined
- May 19, 2018
- Messages
- 19
- Reaction score
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When do you refer a verebral fracture to neurosurgery?
From a medicine stand point - I had felt without neurological signs, conservative approach prior to straight consultation.
Case: 70 year old with mechanical fall. CT shows T11 transverse vertebral body fracture. My attending wanted neurosurgery consultation immediately. This was at 1600 - I figured the neurosurgeon was going to roast me for the consult - but said he need immediate transfer bc its a unstable fracture. Again, the CT did mention minimal retropulsion but no mention of cord impingement in setting of neuro intact.
Opinions? What radiographic / clinical things should i be looking for to make sure i refer appropriately.
From a medicine stand point - I had felt without neurological signs, conservative approach prior to straight consultation.
Case: 70 year old with mechanical fall. CT shows T11 transverse vertebral body fracture. My attending wanted neurosurgery consultation immediately. This was at 1600 - I figured the neurosurgeon was going to roast me for the consult - but said he need immediate transfer bc its a unstable fracture. Again, the CT did mention minimal retropulsion but no mention of cord impingement in setting of neuro intact.
Opinions? What radiographic / clinical things should i be looking for to make sure i refer appropriately.