Intro powerpoint Flashcards
Susceptible segments
C5-C7, greatest motion/bending movements
T12-L1, high stress concentration between the stiff thoracic spine and flexible lumbar spine
Flexion and lateral injuries to the cervical spine likely result in…
wedge fractures
Hyperextension injuries likely cause…
posterior cord damage
What cervical injury causes the most neurological damage?
flexion injury
like a head on collision
What SCI syndrome has the best prognosis?
brown sequard
What SCI syndrome is most common?
central cord
typically in adults with cervical stenosis
brown sequard presentation
loss of pain, temperature OPPOSITE side
loss of motor, sensory, position on SAME side
Where does recovery begin with central cord syndrome?
legs
then bladder
then proximal UE
then intrinsics
posterior cord presentation
loss of vibration and position below level of lesion
anterior cord presentation
variable loss of motor, pain, and temperature
light touch, proprioception preserved
poor prognosis, most likely wont walk
tetraplegia
impairment of arms, trunk, legs and pelvic organs
paraplegia
arms are okay
trunk, legs and pelvis impaired
neurological level
most caudal segment with normal sensory and motor function on both sides of body
skeletal level
where greatest vertebral damage is
sensory level
most caudal dermatome with normal sensation for both pinprick AND light touch
