Cervical spine fracture,neck fracture - Everything You Need To Know - Dr. Nabil Ebraheim

  Рет қаралды 135,881

nabil ebraheim

nabil ebraheim

9 жыл бұрын

Dr. Ebraheim’s educational animated video describes spinal cord injury and possible death from a broken neck.
The bones in the neck are called cervical vertebrae. There are seven cervical vertebrae. These vertebrae are the bony structures that protect the spinal cord. The nerve roots arise from the spinal cord and give branches that supplies sensation, motor function and movement to a specific muscle or a specific group of muscles.
A broken neck does not always mean death will occur, however injury to the spinal cord may cause death. The actor Christopher Reeve suffered a broken neck and he became a quadriplegic. He survived his injury because the problem was recognized and treated quickly and appropriately.
There are three types of injury that may occur with a broken neck:
1-Broken vertebra, spinal cord is OK. The vertebral fracture is treated with or without surgery. Dislocations are usually treated with surgery. The patient has to be handled carefully to avoid any further spinal injury.
2-Broken vertebra- spinal cord injury is incomplete (partial injury).
There are four syndromes that can occur:
a-Central cord syndrome: it is caused by hyperextension injury. It has a favorable prognosis but poor recovery of the hand function. The lesion occurs in the central part of the spinal cord and the grey matter. The injury can be caused by minimal trauma in the elderly, usually caused by osteophytes. Motor weakness is more severe in the upper extremities compared to the lower extremities.
b-Anterior cord syndrome: there will be complete motor paralysis and impairment of the sensory functions. Anterior cord syndrome has the worst prognosis.
c-Brown-Sequard syndrome has the best prognosis with 90% recovery. It is caused by hemisection of the spinal cord usually due to penetrating trauma. There will be ipsilateral deficit of the motor function, proprioception, vibration, and deep touch. There will be contralateral loss of pain and temperature, because the spinothalamic tract crosses at the spinal cord. This syndrome is very rare and is associated with loss of proprioception, deep touch and vibration.
3-Broken vertebra- complete spinal cord injury: if the patient has no movement below the level of the injury immediately after a suspected neck injury, it does not mean that the patient’s lesion is complete (totally paralyzed). The physician may have to wait 24-72 hours until the bulbocavernosus reflex returns which means the end of the spinal shock. Then the neurological status of the patient will be precisely assessed. If the spinal cord is severely damaged, quadriplegia will occur. There will be no movement or sensation below the lesion after the return of the bulbocavernosus reflex, however if the injury is at or above the level of C4, then the diaphragm will be affected and breathing will be affected. If injury to the cervical spine occurs below C4, paralysis alone may occur and breathing may not be badly affected.
How a person dies from a neck injury that severs the spinal cord?
1-The patient may also die from other associated injuries such as head injury, liver, spleen, lung, or pelvis. Checking the ABC’s (airway, breathing and circulation) is important to identify other significant injuries. Increased emergency medical training and first aid is important.
2-Diaphragmatic paralysis at or above the level of C4 can cause asphyxiation. Patient will probably require urgent intubation.
3-Look for other injuries! The cervical spine is known to have more fractures in different levels. Transport the patient carefully no matter if you are in the field or at the scene. The treatment begins at the scene with proper spine immobilization. Immobilization is usually done with a cervical collar.
4-Neurogenic shock: the nerve supply to the heart and blood vessels will be affected. Bradycardia (slow heart beat), hypotension (drop in blood pressure) will occur. Circulatory collapse due to loss of the sympathetic tone.
5-Manipulation of the neck may injure the vertebral arteries with acute brain infarction and stroke.
6-Autonomic dysreflexia : potentially fatal and presents with headache, agitation, hypertension. It is caused by unchecked visceral stimulation. Check the folley catheter. Disimpact the patient.
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Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
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Background music provided as a free download from KZbin Audio Library.
Song Title: Every Step

Пікірлер: 147
@brokenneckinc.6456
@brokenneckinc.6456 8 жыл бұрын
I broke my C1 and C2 in a football game 2 months ago. I was initially paralyzed from the neck down. I was terrified but 2 months later I am recovering and documenting my recovery on my channel.
@willostera3295
@willostera3295 7 жыл бұрын
i just broke my c6 c7 in my highschool football game just 3 weeks ago and am trying to cope, football is dangerous but i still want to play
@muntajibkhan4986
@muntajibkhan4986 6 жыл бұрын
Why do you play football?
@laranjaghirga5058
@laranjaghirga5058 5 жыл бұрын
I HATE YOUR CHANNEL
@minke9246
@minke9246 4 жыл бұрын
that's why I initially dislike football. I've got 3 injuries from playing football in a month
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
I hope you are grateful. Someone was watching over you. And I'm glad for you, btw.
@jordyjean10
@jordyjean10 5 жыл бұрын
Just lost a friend to a car accident yesterday and he had died on impact with a broken neck. This video was very helpful and informational.
@gremlins3591
@gremlins3591 4 жыл бұрын
I came here because I have a neck fetish. I like how big cats kill their prey, by breaking their spinal cord an sucking into it, mmmmmmm - it turns me on every time. Did the video helped you?
@gremlins3591
@gremlins3591 3 жыл бұрын
@@zonagold1863 Thank you for getting the POINT. :>
@fukkcj
@fukkcj 3 жыл бұрын
rip
@sportsandnature258
@sportsandnature258 2 жыл бұрын
My gfs neck bone broken can that be treated in surgery
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
I have neck fractures too suregery is the last thing he can think of if bracing treatement dosent work, how feels now??
@Jayderica
@Jayderica 7 жыл бұрын
I fractured and displaced C2 when I was 3 years old. They didn't find out until the following day as they only x rayed me from the neck down. My specialist didn't want to operate and use the halo. So I was put into a cast my neck in the correct position with sand bags either side to stop me from moving. I lay like that for 8 weeks. I remember quite a lot of it. Mainly learning to walk again. I was so lucky!
@esquibelle
@esquibelle 4 жыл бұрын
Blessinsg to you I broke my C2 i a freak accident --- an somehow survived. i can walk & talk & run. i am suffering PTSD months later. Blessings to you in yout healing. It' s long struggle.
@MRSTOCK.
@MRSTOCK. 3 жыл бұрын
Now you are completely fit
@Jayderica
@Jayderica 3 жыл бұрын
@@esquibelle Thank you. PTSD is horrible. I’ve had EMDR therapy & it really helped. One day at a time 🙂
@Jayderica
@Jayderica 3 жыл бұрын
@@MRSTOCK. lol, thanks.
@godislove7500
@godislove7500 2 жыл бұрын
@@esquibelle Reading the bible out loud healed my neck , made my bones , joints and whole body feel very much stronger too. I believe it can heal anything so never forget daily bible reading out loud for a few minutes or more. Look up healing scriptures online or maybe all the bible is healing I don't know. Pray every day in Jesus' name and always Tithe faithfully. Me n my family have been healed many many times through my Tithing also.
@luisvelez2091
@luisvelez2091 6 жыл бұрын
I was watching this after having a nightmare were my brother broke his neck(he's very small) and he didn't die he was just frozen and I thought he was going to die. So this helped me recover from that dream.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
How he feel now
@melanindemushiiva9468
@melanindemushiiva9468 2 жыл бұрын
I am a horrible car accident surviver my spinal cord C1, 2,4, 5 and 7 and major operating was done and by the Grace of God it was successful all glory to God,,, God's work has no mistake when it's not your time no matter how the enemy try they can't win
@stevestarr5968
@stevestarr5968 2 жыл бұрын
Thank God and Jesus your ok, I broke my neck 3 weeks ago C2 and C4 in a bad car accident and I'm scared to death It's not getting better, I keep praying to Jesus and God but it seems like I keep moving wrong and it breaks or fractures again.
@brutallyhonestguy5985
@brutallyhonestguy5985 Жыл бұрын
@@stevestarr5968 Any updates
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
​@@stevestarr5968any updates
@TarikRom-hu3jj
@TarikRom-hu3jj Ай бұрын
​@@stevestarr5968any upedates
@Donthefirst
@Donthefirst 9 жыл бұрын
It is a nice video! Thanks!
@keandemesa5336
@keandemesa5336 2 жыл бұрын
I have c2. Im super stress right now. I wait for 3 mos. And under go for ct scan. Will see if i will under go surgery or no.. so help me God. Ofw here in uae
@Melissa-rb6ct
@Melissa-rb6ct 4 ай бұрын
What happened
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@michelnassour5060
@michelnassour5060 5 ай бұрын
Excellent lecture....thanks Dr. Nabil
@m_m786
@m_m786 Жыл бұрын
Informative 👍
@AmitisL
@AmitisL Жыл бұрын
Very helpful, thank you
@MrT-py5gc
@MrT-py5gc 4 жыл бұрын
Thanks fot reminding me of my mortality
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
this is serious stuff. Tragically, when I was a little girl, a neighborhood boy broke his neck swinging. I think he was on a rope swing (maybe the kind where a tire is used for the seat). He died almost immediately. No one really knows what exactly happened, only what I know, and I never wanted to hurt the family by asking for details, neither did anyone else.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
I hace c6 and c7 and d5 fracures due to wipslash lots of symtoms accuring in my right side inluding opening my mouth and all the symtoms mentioned above its been only 2 months and week that this happend im only texting with my left hand i dont use the right its week allong with my right leg my doc said 8 should use my collar for the cerical and back support lots catsscan anmri of the cerv8cal is done should also problems with vision and ear should i listen to the specialist or see him again specially when those symptoms are not getting any better as of yet
@karenjones4768
@karenjones4768 3 жыл бұрын
I just lost a Sister-In-Law 3 days ago from a Broken Neck. She fell into the house caring groceries. Niece found her when she got home from work. R.I.P. Donna Much LOVE
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
I'm so very sorry!! That is terrible!
@osamahahmed9844
@osamahahmed9844 9 жыл бұрын
We want a video of spondylolisthesis thank u
@MahdeenSky
@MahdeenSky 4 жыл бұрын
The music man, was so intimidating
@godislove7500
@godislove7500 2 жыл бұрын
I play healing prayer utube videos for me and my family. Some have been very healing for us. My son had chest pain and it went away when I started playing one of Benny Hinn's healing prayer videos. I've had bad headaches go away while playing them also.
@sebastianbear7104
@sebastianbear7104 Жыл бұрын
I broke my C3 a few days ago, I thank god that I’m not paralyzed or worse. I hope to recover in a few months.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Anu updates
@nieli100yearsago3
@nieli100yearsago3 2 жыл бұрын
when I was lifting heavy and I looked to my left side as if I was cracking a bone. but now I feel some pain but only a little
@lucyalvarez1288
@lucyalvarez1288 Жыл бұрын
Thank you for this great review video, I loved the reference from the Bible too. 🙏🏼
@jacquelinedobreva7076
@jacquelinedobreva7076 5 жыл бұрын
You know what they say! Break C4, breath no more.
@gh0stinab0x
@gh0stinab0x 6 жыл бұрын
so loki’s alive...?
@paupaumiau
@paupaumiau 5 жыл бұрын
mr. stark i don’t feel so good I hope so
@jarred1k242
@jarred1k242 7 жыл бұрын
what if ive had it for a month?
@geojor
@geojor 9 жыл бұрын
good one, thank you...
@JaneTuray
@JaneTuray 3 ай бұрын
After the opration can the patient walk again
@Wisteria901
@Wisteria901 4 жыл бұрын
I thought if the spinal cord was injured, you'll be paralyzed
@godislove7500
@godislove7500 2 жыл бұрын
It depends on how severe the injury is. Not all spinal cord fractures result in paralysis.😉
@omarvelazquez2955
@omarvelazquez2955 7 жыл бұрын
Where did I hear this song before
@maverickdenttheuniverse2939
@maverickdenttheuniverse2939 6 жыл бұрын
Omar Velazquez kidbehindacamera?
@malevolent5496
@malevolent5496 5 жыл бұрын
I feel like I'm the only kid who wants to learn about this shit so I don't get hurt, yet I play SOO many sports. :/
@joeyortiz29
@joeyortiz29 2 жыл бұрын
Keep on researching! This is a rad comment
@patiencejoshuagroves7336
@patiencejoshuagroves7336 2 жыл бұрын
Great information here... ...10 years ago I broke my neck in x3 places and my back x1 .... ripped my Brachial Plexus nerve almost in half. Resulting in my right arm/shoulder and right diaphragm being paralyzed . I now require oxygen full time and a BIPAP with oxygen when sleeping.
@patiencejoshuagroves7336
@patiencejoshuagroves7336 Жыл бұрын
@@utubequeen2011 hope it's not your fate as well.. Hopefully your situation has a full recovery 🙏
@patiencejoshuagroves7336
@patiencejoshuagroves7336 Жыл бұрын
@@utubequeen2011 you're welcome. Stay positive..... I don't know your situation but having gone through this myself... we must have reason too still be here.... stay strong and God bless you 🙏
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
How feel now I hace c6 and c7 and d5 fracures due to wipslash lots of symtoms accuring in my right side inluding opening my mouth and all the symtoms mentioned above its been only 2 months and week that this happend im only texting with my left hand i dont use the right its week allong with my right leg my doc said 8 should use my collar for the cerical and back support lots catsscan anmri of the cerv8cal is done should also problems with vision and ear should i listen to the specialist or see him again specially when those symptoms are not getting any better as of yet
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
​and d8d u have any syptoms like me
@yukio7396
@yukio7396 6 жыл бұрын
my neck hurts
@enginecadetjmguieb6406
@enginecadetjmguieb6406 4 жыл бұрын
Somebody slapped me on my neck and I didn't know if I have a broken piece bone in my neck, 'cause after that happened, everytime I swallowed a water or my saliva, whenever I look in my right side, it really hurts. But whenever I pressed on it, it's fine . It's been a week from now. IS'T POSSIBLE THAT THERE'S A smallbone DISLOCATED OR BROKENED ?
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
Why haven't you seen a doctor? Or at least you should know you could go to urgent care!
@godislove7500
@godislove7500 2 жыл бұрын
Reading the bible out loud healed my neck, made my bones, joints and whole body feel very much stronger too. I believe it can heal anything so never forget daily bible reading out loud for a few minutes or more. Look up healing scriptures online or maybe all the bible is healing I don't know. Pray every day in Jesus' name and always Tithe faithfully. Me n my family have been healed through my Tithing many many times also. 'Healing prayer' utube videos have been very healing for me too. I can send you some.
@croxzonyt8024
@croxzonyt8024 3 жыл бұрын
Me watching this with my neck being broke so insecure man only 16 and this happens
@godislove7500
@godislove7500 2 жыл бұрын
Reading the bible out loud healed my neck, made my bones, joints and whole body feel very much stronger too. I believe it can heal anything so never forget daily bible reading out loud for a few minutes or more. Look up healing scriptures online or maybe all the bible is healing I don't know. Pray every day in Jesus' name and always Tithe faithfully. Me n my family have been healed through my Tithing many many times also.
@bryondawson115
@bryondawson115 2 жыл бұрын
@@godislove7500 quit trying to make people read the Bible .
@godislove7500
@godislove7500 2 жыл бұрын
@@bryondawson115 I'll be praying for you dear child of God.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
​@@godislove7500 any updates
@eldanavivawit7004
@eldanavivawit7004 5 жыл бұрын
I have one question my mame before 22 year ago same one heats her back sharp thing setll now there is black and thik flued there is no medication at that place can u give to me ur advaic
@m_m786
@m_m786 Жыл бұрын
Nice 👍🩺♥️
@inherentmink4103
@inherentmink4103 5 жыл бұрын
I have that and I scared I always twist it cause I hear my crumbling inside and it’s getting louder and I’m scared wish me luck guys I’m just 12 👍🏻😇🙏🏻🥺❤️
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
sounds like you're just panicking. I think if it were serious, you'd know it already. But, just to be safe, won't your parents take you to the doctor, or what about urgent care?
@godislove7500
@godislove7500 2 жыл бұрын
Reading the bible out loud healed my neck, made my bones, joints and whole body feel very much stronger too. I believe it can heal anything. So never forget daily bible reading out loud for a few minutes or more. Look up healing scriptures online or maybe all the bible is healing I don't know. Pray every day in Jesus' name and always Tithe faithfully. Me n my family have been healed many many times through my Tithing also. 'Healing prayer' utube videos have been very healing for me too, I can send you some.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
What was ur sypmtoms ​@@godislove7500
@thefbi4060
@thefbi4060 7 жыл бұрын
how do I know of i broken my neck does it always hurt when a fracture happened
@shimchimpmadness3346
@shimchimpmadness3346 7 жыл бұрын
yes the most painful thing you will endure
@Luchiinku
@Luchiinku 6 жыл бұрын
Loki stans 2018
@paupaumiau
@paupaumiau 5 жыл бұрын
Luchi zZz lmao
@saliksallu7167
@saliksallu7167 2 жыл бұрын
10 years ho gaye injury ko C6 and C7 me surgery nahi huvi h ky ab surgery kar k us jagha ki spine recover ho sakti hai...ya o hamesha k liye damege ho gayi h ?
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@smoove354
@smoove354 2 жыл бұрын
C3 fracture that fused on its own. Im in so much pain & discomfort!
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@smoove354
@smoove354 2 ай бұрын
@@TarikRom-hu3jj waiting to have laser spine surgery now.. a fusion or disc replacement won’t help the herniated disc at c4-c5 with stenosis and impingement I have. Torn left rotator cuff and radiculopthy down the left arm .
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
@@smoove354 what happen to you ? How did you get c4 fracture?
@smoove354
@smoove354 2 ай бұрын
@@TarikRom-hu3jj c3 my badd. But from wear n tear of a unknown herniated disc that didn't give me pain until it became a compression fracture. Heavily in the gym , hoopin 🏀 and alot of over the head work
@TarikRom-hu3jj
@TarikRom-hu3jj Ай бұрын
​@@smoove354any upedates
@charlessmith263
@charlessmith263 2 жыл бұрын
So we can finally conclude what happened in "Milion Dollar Baby". Character Maggie Fitzgerald ended up with a C3 to C4 complete spinal cord fracture by slamming her head back on a stool during her final boxing match, with the impact causing severe whiplashing of her head. The anterior part of the spinal cord was definitely involved. Prognosis - was extremely poor. Severe consequences for Maggie included......... Quadraplegic state Permanent requirement of intubation Later on, at the hospital, Maggie had worsening bedsores in the back of his knees due to severe hypoxia from the upper spinal cord injury. (The likely cause of the bad bedsores was her inability to exercise to increase blood flow due to the fractures.)..... this led to necrosis of that area, and subsequent gangrene. Nothing could save that affected area at all, and that area between the knee down to the foot - both pairs - had to be amputated.
@sonicthehedgehog-tgmversio6419
@sonicthehedgehog-tgmversio6419 7 жыл бұрын
I think I've broken C1
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@magnum3862
@magnum3862 4 жыл бұрын
So this is what happens when you listen to slipknot
@zura2501
@zura2501 5 жыл бұрын
I have a broken neck :(
@TarikRom-hu3jj
@TarikRom-hu3jj Ай бұрын
Any upedates
@isntdelicate1337
@isntdelicate1337 5 жыл бұрын
my friend twisting my neck say she could kill me so I look up this video
@alexandraasbury9974
@alexandraasbury9974 3 жыл бұрын
get a new "friend". :O
@MidasLockhart
@MidasLockhart 6 жыл бұрын
I broke my C-7
@Gripllin
@Gripllin 6 жыл бұрын
Troy Mason God bless you
@jelevate8852
@jelevate8852 2 жыл бұрын
Can you still workout?
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
@YoungjamlifeYJL
@YoungjamlifeYJL 8 жыл бұрын
i broke my c2 c4 and c5 in car accident in january
@CloutGodYT2
@CloutGodYT2 7 жыл бұрын
Tallboss TV If you broke your c4 you wouldn't be able to comment
@boofert.washington2499
@boofert.washington2499 5 жыл бұрын
@@CloutGodYT2 broke, not at all. You're right about that. They probably meant incomplete fracture. That's what I had a few years ago. C3 thru C6 incomplete. Yes, I'm in a chair.
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
​@@boofert.washington2499 how do 7 feel now
@TarikRom-hu3jj
@TarikRom-hu3jj Ай бұрын
​@@boofert.washington2499I hace c6 and c7 and d5 fracures due to wipslash lots of symtoms accuring in my right side inluding opening my mouth and all the symtoms mentioned above its been only 2 months and week that this happend im only texting with my left hand i dont use the right its week allong with my right leg my doc said 8 should use my collar for the cerical and back support lots catsscan anmri of the cerv8cal is done should also problems with vision and ear should i listen to the specialist or see him again specially when those symptoms are not getting any better as of yet
@debmalyamukherjee233
@debmalyamukherjee233 8 жыл бұрын
Hi.. i was trying this front flip. was progressing prety well in 4 days but today while practicing, i sliped my foot and landed on my head. now i can't move my neck easily. it really hurts. can anyone please tell me what happened to.me!?? is it a cracked neck or neck sprain?? :(.. please some one reply fast i m really tensed...:(
@gracedoncaster5458
@gracedoncaster5458 8 жыл бұрын
Probs a sprain if it still hurts go see a doctor to make sure you're ok
@debmalyamukherjee233
@debmalyamukherjee233 8 жыл бұрын
+hamsters thanks for the reply... and yes... i am fully ok now :)
@gracedoncaster5458
@gracedoncaster5458 8 жыл бұрын
+Debmalya Mukherjee ok nice to know
@ausilliam
@ausilliam 6 жыл бұрын
get a chiropractor its probably justs shifted
@pitchblack2983
@pitchblack2983 4 жыл бұрын
Nice to hear because i am learning how to do a front flip right now. Don't wanna die btw
@charlottegivens1309
@charlottegivens1309 5 жыл бұрын
Broken back
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates😊q
@hatsunereeeeeku
@hatsunereeeeeku 5 жыл бұрын
*everything* can kill you
@kajetus0688
@kajetus0688 4 жыл бұрын
SCP-173 want to know your location
@thakuhtoo3366
@thakuhtoo3366 6 жыл бұрын
I think I have a broken neck
@wildbeast3106
@wildbeast3106 6 жыл бұрын
RIP poor skeleton
@ajthamemelord4262
@ajthamemelord4262 6 жыл бұрын
I was in a fight and I was so angry I was about to snap the kids neck. But then I realized that. I shouldn't void the kid of his childhood or life so I just let him beat me up... rip
@zura2501
@zura2501 5 жыл бұрын
I have C7 C6 C5 am dead ;-;
@TarikRom-hu3jj
@TarikRom-hu3jj 2 ай бұрын
Any updates
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