জুবায়ের এর জগৎ

  Spine Fracture — Knowledge Stratification 🔹 Intern Level Core Concepts Definition: Disruption of vertebral body ± posterior elements due to trauma Common causes: RTA (most common) Fall from height Osteoporotic collapse (elderly) Basic Classification (Recognition level) Compression fracture Burst fracture Fracture-dislocation (unstable) Clinical Red Flags Back pain + trauma Neurological deficit (weakness, numbness) Bladder/bowel involvement → emergency Initial Management (ATLS mindset) Immobilize spine (cervical collar, log roll) ABC stabilization Avoid unnecessary movement Basic Imaging X-ray: screening CT: confirm fracture MRI: neurological deficit / ligament injury 🔹 MBBS Doctor Level Detailed Classification Awareness Stable vs unstable fracture Denis 3-column theory : Anterior column Middle column Posterior column Instability if ≥2 columns involved Common Injury Patterns Compression → anterior column Burst → anterior + middle (retropulsion risk) Chance fracture → flexion-dis...