Back and Spinal Cord injury Flashcards
ASIA (American Spinal Injury Association) nerve root for elbow flexors?
C5
ASIA nerve root for wrist extensors?
C6
ASIA nerve root for elbow extensors?
C7
ASIA nerve root for finger flexors?
C8
ASIA nerve root for finger abductors?
T1
why must CE syndrome be treated within 48hrs of onset of sphincter symptoms?
so as not to result in:
need for intermittent catheterisation
DRE- digital rectal evacuation
sexual dysfunction
*espec. important as syndrome occurs in young people- between 20 and 40 ish?, so would have to live with these symptoms for the rest of their lives.
most common cause of CE syndrome?
IV disc herniation*
hip flexion nerve roots?
L2, L3
hip extension nerve roots?
L4, L5
hip abduction nerve roots?
L5, S1
hip adduction nerve roots?
L1-L4
hip internal rotation nerve roots?
L1-L3
hip external rotation nerve roots?
L5, S1
knee extension nerve roots?
L3, L4
knee flexion nerve roots?
L5, S1
ankle dorsiflexion nerve roots?
L4, L5 (mainly L5*)
ankle plantarflexion nerve roots?
S1, S2
subtalar inversion nerve roots?
L4, L5
subtalar eversion nerve roots?
L5, S1
extension of big toe nerve root?
L5
toe extensor nerve roots?
L5, S1
toe long flexor nerve roots?
S1, S2
what is a myelopathic gait?
broad base, and shuffle, with disruption in smooth, rhythmic function
red flag symptoms in presentation of back pain?
age outside 18-55
non-mechanical- not relieved by rest
thoracic pain- thoracic spine less mobile in comparison to cervical and lumbar
night pain
systemic features- night sweats, weight loss
widespread neurology- symptoms cannot be related to just 1 nerve root
Ca history or infection
steroid/drug abuse- immunocompromised- infection risk
history of trauma