Any evidence of neuro or vascular damage, hemodynamic instability→ surgery
Normal neuro exam, no vascular injury: immobilization, supportive care
Scapulothoracic dissociation
Airway/Pulmonary
Cervical burst fracture
Bronchial injury
Scapholunate dissociation
Diaphragmatic trauma
Thoracic burst fracture
Hemothorax