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PLASTER CAST

FOR SPINEFRACTURE

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MINERVA CAST

1. Short Minerva Cast

2. Full Minerva Cast

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INICATION

• Fr. Cervical / upper Thoracalvertebrae

• Cervical Dislocation after reduction

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PREPARATION

• Applied ith the patient su!ine onan orthopaedic table in !entle head"halter traction.

• #table the patient in the u!ri"ht!osition

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 Te#hni$ue

$. Pa%%in" is placed around the bac% of the

head&chin&nec% and shoulder

'. The Nec%& Chin and bac% of the head are ()ed ith t&o!laster 'an%a"e ich are *olded to (t closel+

,. Rein(or#e% &ith sla')

$. Fro* the chin to the bac% of the head

'. Around the nec%

,. To broad plaster slab over the shoulder li%eshoulder strap

-. Fro* the bac% of the head to the loer border of thescapula

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Re+ar,s)

-  The ear should re*ain free

-

 The cast should not li*it *ove*entin the shoulder oint

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Full Minerva CastTe#hni$ue

• #a*e ith #hort inerva cast but thePaddin! is Applied include the (orehea%and the thora-

• Note)

$. Position of the head usuall+ in e)tension

or in neutral position'. In the neutral position or sli!ht 0e)ion in

the case of h+pere)tension inur+

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O/ 0ACET

• INICATION)

- #table 1urst and Co*pressionfracture of Thoracolu*bar 2ertebrae32 th 4" 25 ,6

- Cranial to 2Th 4 ith cervicale)tension

- Caudad to 25 , ith 7ip e)tension3#pica6

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PRONE POSITION

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SUPINE POSITION

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o%* 0a#,et Te#hni$ue

• Prone or su!ine !osition beteento table

•  The Patient is placed in tubular

stoc%inette fro* the nec% don tothe %nee&The Ar* re*ain free

•  The trun% is !a%%e% in circular

fashion• !laster 'an%a"es 899 ide are

ound around the trun% and the cast

is then reinforced ith several lateral

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•  The cast is co*pleted ith ,"- plasterbanda!e and closel+ *olded to the iliac

crest• Nor+all* it e-ten%)

  " 2entrall+ fro* the loer border ofa)illa and on the chest ust short of thesternal notch to s+*ph+sis

" Dorsall+ fro* loer border os thescapula to the sacru*

• 3in%o& is cut aa+ over the epi!astriu*

• Re+ar,s) The Cast should (t closel+ so

that it cannot slip don

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1od+ Cast

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T4AN /OU