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In Pakistan, spinal cord injury is more common in males (92.68%) as compared to females in the 20–30 years of age group with a median age of 40 years, although people from 12–70 years of age suffered from spinal cord injury [73] Rates of injury are at their lowest in children, at their highest in the late teens to early twenties, then get ...
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]
Aarabi's research focuses on the traumatic cervical spinal cord and brain injuries. During the decade spanning from 1980 to 1990, he was involved in cohort studies of soldiers and civilians injured in battle in the Iran-Iraq war. [2] In his later research, he has focused on the analysis of data on traumatic cervical spinal cord injury in the USA.
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]
Excluding a cervical spinal injury requires clinical judgement and training. Under the NEXUS guidelines, when an acute blunt force injury is present, a cervical spine is deemed to not need radiological imaging if all the following criteria are met: There is no posterior midline cervical tenderness; There is no evidence of intoxication
When due to trauma, myelopathy is known as (acute) spinal cord injury. When inflammatory, it is known as myelitis. Disease that is vascular in nature is known as vascular myelopathy. In Asian populations, spinal cord compression often occurs due to a different, inflammatory process affecting the posterior longitudinal ligament. [citation needed]
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
Most types of spinal fracture confer a significant risk of spinal cord injury. After the immediate trauma, there is a risk of spinal cord injury (or worsening of an already injured spine) if the fracture is unstable, that is, likely to change alignment without internal or external fixation. [1]