Falls

Falls from a height are associated with fractures of the lower extremities, pelvis, and spine. Scalea et al. studied 161 patients who fell from a height of one or more stories, nearly one-fourth of whom suffered spine fractures.12 Of the latter, 74 percent sustained a major compression or burst fracture. The most common site of injury was the thoracolumbar junction. A thorough neurologic evaluation must be part of the early assessment of patients with vertical deceleration injury. All patients must be presumed to have unstable spine fractures until proven otherwise.

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Your Heart and Nutrition

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