Spinal Cord Trauma Ch. 16

Question 1

How do children fair compared to adults w/ spinal injury

Answer 1

have better outcomes

Question 2

Pedi factors that increase spinal trauma risk (4)?

Answer 2

1. large head v. body, 2. weak spinal muscles, 3. spinal column more elastic, 4. immature vertebral, more horizontal facets

Question 3

How does SCI effect temprature regulation?

Answer 3

May not be able to maintain temperature via vaso constriction and dilation secondary to loss of sympathetic nerve impulses.

Question 4

Signs of SCI w/ neurogenic shock

Answer 4

bradycardia and hypotension

Question 5

Three Signs of SCI involving the pelvic region?

Answer 5

1. priapism, 2. incontinence, 3. abnormal rectal tone

Question 6

How does downs syndrome increase SCI risk?

Answer 6

they have more atlocranial instability

Question 7

What is a Primary SCI?

Answer 7

mechanical injury (compression/flexion/disruption)

Question 8

What is a Secondary SCI and list four causes?

Answer 8

indirect injury to the spinal cord from hypoxia, hypoperfusion, hemmorhage, ischemia

Question 9

What is a Spinal concussion?
What can cause it and how does it effect function?
How long do symptoms last?
What might be seen om imaging?

Answer 9

jarring or shaking leading to temporary loss of function for hours to days, not seen on imaging

Question 10

Signs of spinal shock` (3)

Answer 10

1. bradycardia, 2. hypotension, 3. temperature instability