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In September 2005 Spann suffered a severe spinal cord injury, rendering him unable to move from the neck down. After a surgery that included an anterior and posterior fusion, an iliac bone graft and a Harm's Cage insertion, he underwent physical therapy, craniosacral therapy and myofascial release therapy. Then, in January 2006, Spann returned ...
United Spinal Association staff and members at the 2019 Roll on Capitol Hill annual disability advocacy event. United Spinal Association is a nonprofit membership, disability rights and veterans service organization in the United States. It was formed in 1946 as Eastern Paralyzed Veterans Association by a group of paralyzed World War II ...
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]
The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [2] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
A catastrophic injury is a severe injury to the spine, spinal cord, or brain. [1] It may also include skull or spinal fractures . [ 2 ] This is a subset of the definition for the legal term catastrophic injury , which is based on the definition used by the American Medical Association .
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 .
Tethered spinal cord syndrome may go undiagnosed until adulthood, when sensory, motor, bowel, and bladder control issues emerge. This delayed presentation of symptoms relates to the degree of strain on the spinal cord over time. [4] Tethering may also develop after spinal cord injury. Scar tissue can block the flow of fluids around the spinal cord.