To prevent adverse events considering the spine and in general, sufficient resuscitation is highly important. Diagnostics should include the use of a CT-Scanner in the first place. Conventional X-Ray remains selleck as adjunct, only. Instable fractures should be stabilized early. The growing knowledge on the crucial role of immunologic disturbances including secondary events triggered by excessive surgery leads to a staged damage control approach. Regarding the second hit theory, excessive surgery, like anterior column reconstructions should be delayed until stable vital parameters and homeostasis are regained. The use of methylprednisolon is an

option in associated incomplete spinal cord injury. We depicted specific treatment regimes for stable and unstable fractures of the spinal column complying with a damage control approach for spine surgery in the polytraumatized patient, potentially advantageous for the patient’s uneventful recovery. Future studies should address this potential, preferably in randomized-controlled buy OICR-9429 trials trying to define target parameters and establish cut-off levels, as well as answering the question which Target Selective Inhibitor Library cell line patient might benefit the most. Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is

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