SPINAL CORD INJURIES

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An overview of the structure of the spinal cord, incomplete SCI versus complete SCI, and the most common causes of a spinal cord injury. That carries signals from the brain to the rest of the nervous system.

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SPINAL CORD INJURIES:

SPINAL CORD INJURIES Presented By: Spinal Cord Injury Association SCIA

Definition :

Definition Insult to spinal cord resulting in a cha n ge , in the normal motor, sensory or autonomic function. This change is either temporary o r permanent .

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Most common causes Who?? Males: Age 16-30 years Risk takers Auto accidents (flexion injuries ) Motorcycle accidents Falls (hyperextension injuries) Sports mishaps; Diving incidents (compression injury ) Risk takers

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Human Being Spinal cord 31 pairs of spinal nerves: 8 cervical 12 thoracic 5 lumbar 5 sacral 1 coccygeal

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Downloaded from: Rosen's Emergency Medicine (on 29 April 2009 06:34 PM) © 2007 Elsevier

Myotomes: :

Myotomes: Segmental nerve root innervating a muscle Again important in determining level of injury Upper limbs: C 5 - Deltoid C 6 - Wrist extensors C 7 - Elbow extensors C 8 - Long finger flexors T 1 - Small hand muscles

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Lower Limbs: L 2 - Hip flexors L 3,4 - Knee extensors L 4,5 – S 1 - Knee flexion L 5 - Ankle dorsiflexion S 1 - Ankle plantar flexion

Spinal Cord Injury Classification:

Spinal Cord Injury Classification Quadriplegia : injury in cervical regio n all 4 extremities affect e d Paraplegia: injury in thoracic, lumbar or sacral segments 2 extremities affected

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The Effects of SCI The exact effects of a SCI vary according to the type and level injury, and can be organized into two types: Complete Incomplete

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Complete: Loss of voluntary movement of parts innervated by segment, this is irreversible Loss of sensation Spinal shock

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Some function is present below site of injury More favourable prognosis overall Are recognisable patterns of injury, although they are rarely pure and variations occur Incomplete :

Injury defined by SCIA Impairment Scale:

Injury defined by SCIA Impairment Scale SCIA – Spinal Cord Injury Association : A – Complete: no sensory or motor function preserved in sacral segments S 4 – S 5 B – Incomplete: sensory, but no motor function in sacral segments

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C – Incomplete: motor function preserved below level and power graded < 3 D – Incomplete: motor function preserved below level and power graded 3 or more E – Normal: sensory and motor function normal

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Immediate Treatment Prevention of further Damage Emotional Therapy Preventing Inflammation Corticosteroid Controller Medications (MS)

Treatment of chronic spinal cord injured patients with autologous bone marrow-derived hematopoietic stem cell transplantation :

Treatment of chronic spinal cord injured patients with autologous bone marrow-derived hematopoietic stem cell transplantation Cairo University conducted human trial of hematopoietic progenitor stem cells in SCI Patients Results: Improved functions Not FDA approved MRI showed no tumors Awaiting 1 year follow up

contact us:

contact us Address: 293 – Gupta Colony, Kapurthala Road, Jalandhar, India Website: www.scia.org.in Email Us: contact.scia@scia.org.in Call Us: 08968300017

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