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Spinal cord injury without radiographic abnormality exists when spinal cord injury is present but there is no evidence of spinal column injury on radiographs. [22] Spinal column injury is trauma that causes fracture of the bone or instability of the ligaments in the spine ; this can coexist with or cause injury to the spinal cord, but each ...
Patients with spinal cord injury due to trauma tend to have other life-threatening traumatic injuries or complications of spinal cord injury such as neurogenic shock [12] that take precedence to repair of the spine. [6] Thus, spinal motion restriction should be maintained while other medical interventions are begun. [6]
Some do not develop symptoms until a few days after the injury. [3] Causes may include motor vehicle collisions, falls, sports injuries, and non accidental trauma. [3] [2] A number of underlying mechanisms are proposed including spinal cord contusion, injury to the blood supply to the spinal cord, and excessive stretching of the cord. [3]
Traumatic spinal cord injuries occur in approximately 40 people per million annually in the United States, resulting from traumas due to motor vehicle accidents, sporting injuries, falls, and other factors. [13] An estimated 10 to 25% of vertebral fractures will result in injury to the spinal cord. [13]
Central cord syndrome (CCS) is the most common form of cervical spinal cord injury (SCI). It is characterized by loss of power and sensation in arms and hands. It usually results from trauma which causes damage to the neck, leading to major injury to the central corticospinal tract of the spinal cord. [1]
The American Spinal Injury Association (ASIA), formed in 1973, [2] publishes the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), [3] which is a neurological exam widely used to document sensory and motor impairments following spinal cord injury (SCI). [4] The ASIA assessment is the gold standard for ...
In one study, subjects with traumatic spinal cord injury participated in a progressive exercise training program, which involved arm ergometry and resistance training. Subjects in the exercise group experienced significant increases in strength for almost all muscle groups when compared to the control group.
A burst fracture is a type of traumatic spinal injury in which a vertebra breaks from a high-energy axial load (e.g., traffic collisions or falls from a great height or high speed, and some kinds of seizures), with shards of vertebra penetrating surrounding tissues and sometimes the spinal canal. [1]
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