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Spinal cord injury can be traumatic or nontraumatic, [5] and can be classified into three types based on cause: mechanical forces, toxic, and ischemic from lack of blood flow. [6] The damage can also be divided into primary and secondary injury: the cell death that occurs immediately in the original injury, and biochemical cascades that are ...
Typically, younger patients are more likely to get CCS as a result of a high-force trauma or a bony instability in the cervical spine. [6] [7] Historically, spinal cord damage was believed to originate from concussion or contusion of the cord with stasis of axoplasmic flow, causing edematous injury rather than destructive hematomyelia. More ...
The spinal cord and the brain work together, making them the key components of the central nervous system. [5] Damage to this system affects specific functions of the body, primarily relating to the function of muscles. The areas most commonly injured include the cervical vertebrae (C1-C7), and the lumbar spine (L1-L5). [6]
Cervical disc herniations occur in the neck, most often between the fifth and sixth (C5–6) and the sixth and seventh (C6–7) cervical vertebral bodies. There is an increased susceptibility amongst older (60+) patients to herniations higher in the neck, especially at C3–4. [23]
Occipito-cervical junction This disorder may result from rheumatoid arthritis, causing the hypermobility of the connection between the neck and head, resulting in paralysis or pain. [6] Cerebrovascular disease Cerebrovascular disease is a type of cervical spine disorder that can cause tetraplegia. [7] Subaxial cervical spine [8] Atlanto-axial joint
Cervical spinal nerve C7 controls triceps and wrist extension. Cervical spinal nerve C8 helps control the hand. [18] The cervicocranial syndrome occurs when symptoms arise due to cervical vertebrae damage (misalignment, collapse, shift or disease, such as tumor) resulting in the improper functioning of the cervical spinal nerves.
[5] [6] [7] Injuries to the cervical spine are common at the level of the second cervical vertebrae, but neurological injury is uncommon. C4 and C5 are the areas that see the highest amount of cervical spine trauma. [8]
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
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