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 -  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.

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