SCI overview

Question 1

average LOS for acute care? rehab?

Answer 1

11 days; 31 days

Question 2

where do most SCI discharge to?

Answer 2

home

Question 3

paraplegics stay how long in acute care on average? tetraplegics?

Answer 3

3-4 para; 4-6 tetra

Question 4

70% of all SCI are _____

Answer 4

traumatic due to hypermotion (in all planes) or penetration

Question 5

most likely cause of traumatic SCI

Answer 5

MVA

Question 6

common causes of nontraumatic SCI

Answer 6

congenital, infxn, tumors

Question 7

T/F: We perform the ASIA exam before resolution of spinal shock to establish baseline

Answer 7

false - cannot classify ASIA until after resolution of spinal shock

Question 8

SC anatomy responsible for joint position, vibration, and pressure

Answer 8

DCML

Question 9

SC anatomy responsible for pain and temperature

Answer 9

lateral spinothalamic tract

Question 10

SC anatomy responsible for axial/proximal limb movement

Answer 10

lateral/ventral reticulospinal, vestibulospinal, tectospinal

Question 11

SC anatomy responsible for distal limb movements

Answer 11

lateral CST and rubrospinal tract

Question 12

what is conus medullaris syndrome

Answer 12

injury to sacral cord (UMN) and lumbar nerve roots (LMN) within the canal resulting in a combination of UMN and LMN signs

Question 13

what is the bladders status of someone with conus medullaris syndrome

Answer 13

S2-4 impacted therefore areflexive

Question 14

what symptoms are common in conus medullaris syndrome

Answer 14

• Symmetrical LE motor and sensory loss
• distal hyperreflexia/spasticity

Question 15

what is the prognosis of cauda equina syndrome

Answer 15

potential for regeneration but rarely gets full regeneration/recovery

Question 16

what is the bladder status of cauda equina syndrome

Answer 16

areflexive

Question 17

what symptoms are common with cauda equina syndrome

Answer 17

Asymmetrical motor and sensory loss and flaccid paralysis

Question 18

what are symptoms of central cord syndrome

Answer 18

• UE > LE motor>sensory
• sacral sparing
• prognosis good ambulation but poor fine motor

Question 19

what are sxs of brown-sequard syndrome

Answer 19

• ipsilateral motor loss
• ipsilateral proprioception loss
• contralateral sensory loss

Question 20

what are common sxs of anterior cord syndrome

Answer 20

• loss of motor bilaterally
• loss of pain and temp bilaterally

Question 21

what are common sxs of posterior cord syndrome

Answer 21

• loss of proprioception, kinesthesia, vibration, 2 pt discrimination, graphesthesia, stereognosis