Professional Documents
Culture Documents
Spinal Cord Injury
Spinal Cord Injury
• Preeti Dubey
• BPT FINAL YEAR
CONTENT
1. Introduction
2. Incidence
3. Etiology
4. Risk factor
5. Classification
6. Clinical manifestations
7. Investigation
8. Management
TRACTS
• Alcohol intoxication
• Drug abuse
• Osteoporosis
• Participation in high risk activities-
diving and sports
CLASSIFICATION
1. Complete SCI
- Total motor and sensory loss distal to the
injury after spinal shock is over.
- two types:-
a. Tetraplegia/quadriplegic
b. Paraplegia
CONTD….
C. Brown-sequard syndrome
causes: Gun shot
Stab woud
Spinal cord tumors
Characteristics:
- Rare form of incomplete spinal cord injury which results
after damage to one side of the spinal cord ( hemisection)
- damages dorsal column tract, Spinothalamic tract ,
corticospinal tract, anterior grey horn, dorsal and ventral
cerebellar pathway
- loss of sense of vibration, deep touch or pressure, joint
position sense and motor paralysis below and at the level of
injury on the same side
-Loss of sense of pain and temperature on the C/L side
CONTD…
• Pain
• Breathing difficulty
• Sensitivity to stimuli
• Muscle spasm
• Loss of sensation
• Loss of autonomic activity
• Loss of bowel control
• Loss of bladder control
• Sexual dysfunction
• Loss of function such as mobility or sensation
INVESTIGATION
1. History taking
2. Physical examination
3. Imaging- x-ray
- x-ray
- CT scan
-MRI
MANAGEMENT
1. Emergency care
. Maintaining the airway, breathing and circulation
. Immobilisation
2. Medication
. Methyl prednisolone
3. Surgical management
. Surgical decompression
. Posterior laminectomy
. Surgical stabilization- spinal fusion, fixation of Vertebra, fixation of
spine
. Disectomy ,foramenotomy
. Artificial disc implantation
4. Rehabilitation
THANK YOU