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.

Your Heart and Nutrition

Your Heart and Nutrition

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