Spinal Cord Injury Nonsurgical Management
Vital Signs and Neuro Signs
Nurse assesses vital signs and neuro signs every hour. In the first 2-hours after injury the client is at risk for neurogenic shock which is manifested by bradycardia and hypotension (most often associated with cervical spine injuries).
Fixed Skeletal Traction
The client with a cervical spine injury is usually placed in fixed skeletal traction to realign the vertebrae, facilitate bone healing and prevent further injury.
Immobilization – Cervical Injuries
Most commonly used is the halo fixator and cervical tongs. Halo fixator is a static traction device.
Immobilization – thoracic and lumbar/sacral injuries. Bed rest, immobilization with a body cast.