Abstract
A 26-year-old female suffered a spinal cord injury when she was thrown from the snowmobile she was driving. She was emergently transferred by ambulance to the nearest trauma center. Thorough evaluation by the trauma service, including imaging studies, revealed a fracture-dislocation at T10-T11. After surgical stabilization, she remained in the acute care hospital for 16 days. Besides the management of many issues related to the spinal cord injury, she was being treated for persistent mid-back pain. Her initial pain regimen was tramadol (Ultram; Ortho-McNeil, Inc., Raritan, NJ) 100mg every 6 hours as needed. Because she got minimal relief with the tramadol, she was switched to hydrocodone/acetaminophen (Vicodin 5/500; Abbott Laboratories, Abbott Park, IL) every 6 hours. Because this was ineffective, she was started on long-acting oxycodone (OxyContin; Purdue Pharma L.P., Stamford, CT) 10mg every 12 hours.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
