0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Medical News

JAMA. 1978;239(16):1597-1605. doi:10.1001/jama.1978.03280430013002.
Text Size: A A A
Published online

ABSTRACT

Laminectomy the 'wrong' treatment for fracture dislocations of spine  Perhaps no natural disaster is capable of inflicting so much damage in so little time as a severe earthquake. In Guatemala City during the early morning of Feb 4, 1976, such a quake killed 25,000 people and seriously injured 60,000 more.Among the injured were 70 persons with fracture dislocations of the spine. Many of these patients received the wrong surgical treatment, according to Frederic R. Labbé, MD, professor and chairman of the Department of Orthopedic Surgery at Roosevelt Hospital, Guatemala City.He told the recent Dallas meeting of the American Academy of Orthopaedic Surgeons that 37 of the patients were given laminectomies in an attempt to decompress the injured spinal cord. This should never have been done, he said; the operation made little difference in the patients' neurological status. Instead, it left them with dangerously unstable spines, was associated

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();