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Spinal Cord and Spinal Cord Tracts: Wencito A. Daya MD
Spinal Cord and Spinal Cord Tracts: Wencito A. Daya MD
Wencito A. Daya MD
Neurosurgery-Spine Surgeon
Fellow Academy of Filipino Neurosurgeons
Fellow Philippine Spine Society
Asst Training Officer
Southern Philippines Integrated Neurosurgical
Training Program (SPINTrP)
Conus medullaris
Cauda equina
Filum terminale
Conus medullaris
Cauda equina
Filum terminale
Central Cord Syndrome
Greater weakness in the upper limbs
than in the lower limbs, occurs in
cervical region
The most common of the incomplete
syndromes
Frequently seen in elderly patients
with cervical stenosis
Good prognosis for recovery but age
a predictor:
<50 yo >50 yo
Ambulation 97% 41%
ADLs 77% 12%
Bowel 63% 24%
Bladder 83% 29%
Central Cord Syndrome
Greater weakness in the upper limbs
than in the lower limbs, occurs in
cervical region
The most common of the incomplete
syndromes
Frequently seen in elderly patients
with cervical stenosis
Good prognosis for recovery but age
a predictor:
<50 yo >50 yo
Ambulation 97% 41%
ADLs 77% 12%
Bowel 63% 24%
Bladder 83% 29%
Brown-Sequard Syndrome
2 - 4 % of all traumatic SCI
Hemi-section injury of the spinal cord
producing greater ipsilateral
proprioceptive & motor loss with
contralateral loss of pin &
temperature sensation
Overall best prognosis for recovery
Least frequent
Preserves pain,
temperature, and light
touch with varying
degrees of motor
preservation and loss of
proprioception
Prognosis for ambulation
is poor
Reflexes
Babinski Clonus
Reflexes
Hoffmans Sign Inverted radial Reflex
Sub Axial Instrumentation
BHOLMAN wiring technique
5 years Post Op
5 years Post Op
5 years Post Op
6 years Post Op
6 years Post Op
6 years Post Op
Occipito-Cervical Fusion
Occiput
C2
C4 Vertebral
Body Metastasis
C4 Corpectomy for Vertebral Body Mets
Head Part