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bilateral rami fractures

My 19 year old son was in a very serious high speed car accident. Among the many injury sustained he has bilateral fractured rami. What is the best course of action? I have read about both surgical and nonsurgical options. Accident occured 7 weeks ago. He spent 17 days in coma, 4 weeks in neuro/trauma icu and is now in a rehabilitative center. Injuries included, ABI, open fx of left femur, tib/fib (titanium bars placed), feet crushed (surgically repaired) spleen removed, liver lacerated (healing), duodenum separated (reattached). Has control of bowel and bladder and can move right leg (enclosed fxs) and left leg moves toes with pain. Various open wounds, some from accident, some from external fixation of leg for first 14 days healing well. Midline incisions still closing. Very concerned with amount of pain he is in with pelvic fx. Moving him, to reclining wheelchair or commode is excruciating and I am concerned that we may be disrupting the healing of pelvis. Suggestions?


Thats really a lot of injuries. Usually pubic rami fractures heal by 10 to 12 weeks. Also it is quite painful. The severe pain he has make me due to the cummulative affect of all his injuries.
We would advice the same rehab and that should help him with the pain.Sometimes it can take longer than usual,because of the amount of energy that his body has absorbed.
As you doctor about Lyrica, for neuropathic pain.
The recent trend it to attach pain at all levels, peripheral,spinal cord and in the brain.
Lyrica has pregabalin,that works in the pain pathway. Now a days,we are giving it for patients who are undergoing knee replacement as well

Posted on:  June 30th, 2010 06:27:59 PM

 
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