- Any polytrauma patient is suspect of having an unstable spine fracture until the contrary is proven,
- The vital prognosis is threatened in the first days essentially by the assault on respiratory muscles and cardiovascular troubles induced by the breach of the autonomous
. nervous system - Medical management is made as early as possible in the pre-hospital setting. - Exploration of the spine by conventional face and profile radiographs remains the basic examination. - The maintenance of the spinal cord blood flow is an essential objective of the resuscitation begun in the pre-hospital setting.