Spinal Cord Injury Terminology Flashcards
Cauda equina injury
Injury that occurs below the L1 level of the spine. LMN lesion
Dermatome
Designated sensory areas based on spinal segment innervation.
Myelotomy
A surgical procedure that severed certain tracts within the spinal cord in order to decrease spasticity and improve function
Myotome
Designated motor areas based on spinal segment innervation
Neurectomy
A surgical removal of a segment of a nerve in order to decrease spasticity and improve function
Neurogenic bladder
The bladder empties reflexively for a pt w an injury above the level of S2. The sacral reflex arc re,wins intact
Neurologic level
The lowest segment of the spinal cord w intact strength and sensation. Ms group at this level must receive a fair grade
nonreflexive bladder
The bladder is flaccid as a result of a caudal equine or conus medullar is lesion. The sacral reflex arc is damaged
Paradoxical breathing
A for of abnormal breathing that is common in tetraplegia where the abdomen rises and the chest is pulled inward during inspiration. On expiration the and falls and the chest expands.
Paraplegie
A term used to describe injuries that occur at the level of the thoracic, lumber, or sacral spine
Rhizotomy
A surgical resection of the sensory component of a spinal nerve in order to decrease spasticity and improve function
Sacral sparing
An incomplete lesion where some of the most innermost tracts remain innervated. Characteristics include sensation of the saddle are, mvmt of toe flexors, and spinster rectal contraction
Spinal shock
A physiologic response that occurs between 30 and 60 min after trauma to the spinal cord and can last up to several wks. Presents w total flaccid paralysis and loss of all reflexes below the level of injury
Tenodesis
Pt w tetraplegia that do not posses motor control for grasp can utilize the tight finger flexors in combination w wrist ext to produce a form of grasp
Tenotomy
A surgical release of a tendon in order to decrease spasticity and improve function
