Advanced Trauma Life Support (ATLS) Practice Exam

Injuries to the spine, particularly fractures that compromise the anatomy and function of the abdominal organs, can lead to ileus. Ileus is a condition characterized by a lack of movement in the intestines, which can cause a blockage and prevent the passage of digestive contents. This condition often arises after trauma, surgery, or as a complication of medications, but can also be directly linked to the disruption of nerve pathways due to spinal injuries.

Specifically, spinal fractures may lead to irritations or disruptions in the autonomic nervous system, which is essential for regulating intestinal motility. When these pathways are affected, it can result in the inability of the intestines to contract properly, leading to symptoms characteristic of an ileus, such as abdominal pain, distension, and a failure to pass gas or stool.

While pneumonia, appendicitis, and hernias are serious conditions associated with medical emergencies, they are not directly caused by spinal fractures affecting the abdomen as ileus can be. Understanding this connection underscores the importance of monitoring gastrointestinal function in patients with significant spinal injuries.