Spinal Cord Injuries and Anatomy Overview

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Questions and Answers

What is the primary function of the anterior longitudinal ligament?

  • Facilitate spinal nerve exit
  • Support the spinal cord
  • Prevent hyperextension (correct)
  • Connect adjacent vertebrae

What structure is formed when the dorsal root and ventral root merge?

  • Conus medullaris
  • Cauda equina
  • Dorsal root ganglion
  • Spinal nerve (correct)

Which tract is responsible for detecting trunk and limb positions in the cerebellum?

  • Spino-olivary tract
  • Spino-tectal tract
  • Ventral corticospinal tract
  • Spino-cerebellar tract (correct)

What happens to sensation when the spino-cerebellar tracts are cut?

<p>Sensation remains unchanged (A)</p> Signup and view all the answers

Which ligaments and membranes contribute to the protection of the spinal cord?

<p>Dura mater and cerebrospinal fluid (C)</p> Signup and view all the answers

What is the most common cause of spinal cord injury (SCI)?

<p>Motor vehicles (C)</p> Signup and view all the answers

At which level does the spinal cord end in adults?

<p>L1, L2 junction (A)</p> Signup and view all the answers

Which part of the spinal cord contains gray matter divided into anterior, lateral, and dorsal horns?

<p>Gray matter (B)</p> Signup and view all the answers

What characterizes spinal shock?

<p>Flaccid paralysis with loss of sensation (D)</p> Signup and view all the answers

What is a potential complication of neurogenic shock?

<p>Peripheral pooling of blood (D)</p> Signup and view all the answers

Which symptom is NOT associated with anterior cord syndrome?

<p>Loss of fine touch sensation (C)</p> Signup and view all the answers

Which syndrome is characterized by greater weakness of the arms than the legs?

<p>Central cord syndrome (A)</p> Signup and view all the answers

What type of spinal cord injury syndrome is characterized by intact sensory function and loss of motor function?

<p>Anterior cord syndrome (C)</p> Signup and view all the answers

What is a major feature of posterior cord syndrome?

<p>Intact sensation of pain and temperature (B)</p> Signup and view all the answers

What characterizes a complete spinal cord injury?

<p>Complete loss of voluntary movement in parts innervated by the segments below (A)</p> Signup and view all the answers

Which type of shock results from the loss of sympathetic nervous tone?

<p>Neurogenic shock (D)</p> Signup and view all the answers

Which intervention is crucial to prevent muscle atrophy in a patient with neurogenic shock?

<p>Electro-stimulation of muscles (C)</p> Signup and view all the answers

Which of the following is not a mechanism of injury for spinal cord injury?

<p>Vascular malformation complications (D)</p> Signup and view all the answers

What is the primary feature of tetraplegia?

<p>All four extremities are affected, with lower extremities more affected (B)</p> Signup and view all the answers

Which classification relates to the location of the injury?

<p>Skeletal and neurologic level (B)</p> Signup and view all the answers

What is a common cause of cervical hyperflexion injuries?

<p>Anterior compression fracture of the vertebral body (B)</p> Signup and view all the answers

Which injury indicates high-level paraplegia?

<p>Injury in the T1 - T7 range (A)</p> Signup and view all the answers

Which of the following best describes a cervical compression injury?

<p>Caused by diving accidents and results in whiplash (D)</p> Signup and view all the answers

What type of paralysis results from injuries specifically at the sacral segment of the spine?

<p>Paraplegia (C)</p> Signup and view all the answers

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Flashcards

Intervertebral Disc

The soft tissue that acts as a buffer between the bony bodies of adjacent vertebrae, preventing excessive friction and impact during movement.

Anterior Longitudinal Ligament

A strong ligament that runs along the front of the vertebral column, preventing excessive hyperextension (bending backwards) of the spine.

Dura Mater

A thick band of connective tissue that encloses the spinal cord within the vertebral canal, providing protection and support.

Cauda Equina

A group of nerves that emerge from the spinal cord below the level of the conus medullaris, resembling a horse's tail.

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Cervical Enlargement

A specialized region of the spinal cord that is thicker to accommodate the increased number of nerves supplying the upper limbs.

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Lumbar Enlargement

The area of the spinal cord that controls voluntary movements of the lower limbs.

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Dorsal Root Ganglion

A specialized type of sensory neuron located in the dorsal root ganglion, responsible for transmitting sensory information from the periphery to the spinal cord.

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Cerebrospinal Fluid (CSF)

The clear fluid that surrounds the spinal cord and brain, providing cushioning, protection, and essential nutrients.

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Cervical hyperextension injuries

Injury to the spinal cord caused by a sudden, forceful movement of the head, typically resulting in a hyperextension of the cervical spine.

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Compression injuries

Injury occurring when an individual's chin is displaced outward due to a forceful impact, often resulting in a compressed flexion of the neck, potentially leading to spinal cord damage.

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Cervical flexion and rotation injuries

Injury resulting from a sudden force on the neck, usually involving a combination of flexion and rotation, leading to damage to the spinal cord.

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Cervical hyperflexion injuries

Injury caused by extreme forward bending of the neck, leading to compression of the vertebral body, which can disrupt blood flow to the spinal cord.

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Complete SCI

A condition characterized by a loss of voluntary movement and sensation in the parts of the body below the level of the spinal cord injury.

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Quadriplegia

A condition affecting both arms and legs, occurring when the spinal cord is injured between the C1 and T1 vertebrae.

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Paraplegia

A condition involving paralysis of the lower body, including the legs, feet, and often the trunk muscles, resulting from injury to the spinal cord below the T1 vertebra.

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Tetraplegia

A condition involving weakness or paralysis of the arms and legs, especially noticeable in the lower extremities, with some shoulder girdle function preserved.

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Spinal Shock

A condition characterized by a complete loss of sensation and motor function below the level of injury. The patient is unable to move or feel anything below the injury site.

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Neurogenic Shock

A type of shock caused by the loss of sympathetic nervous system function below the level of injury.

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Anterior Cord Syndrome

Damage to the anterior portion of the spinal cord, typically due to flexion and rotation injuries.

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Posterior Cord Syndrome

Damage to the posterior portion of the spinal cord, typically due to hyperextension injury.

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Central Cord Syndrome

Damage to the center of the spinal cord, often caused by hyperextension injuries.

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Brown-Séquard Syndrome

Damage to one half of the spinal cord, typically caused by penetrating injuries.

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Conus Medullaris Syndrome

Damage to the conus medullaris, the lowermost portion of the spinal cord.

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Cauda Equina Syndrome

Damage to the cauda equina, the nerve roots extending from the spinal cord.

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Study Notes

Spinal Cord Injuries - Importance of Spine

  • Stability of the backbone
  • Protection of the spinal cord
  • Protection of nerves between superior and inferior articular facets
  • Allow movement in 33 joints with their IVDs

Boney Anatomy

  • 33 vertebrae
  • 7 cervical vertebrae
  • 12 thoracic vertebrae
  • 5 lumbar vertebrae
  • 5 sacral vertebrae (fused)
  • 4 coccygeal vertebrae (fused)
  • Cervical vertebrae are the most mobile and prone to injury
  • Cervical vertebrae are most likely to have a fracture

Cervical Vertebrae

  • Atlas forms atlanto-occipital joint with the occipital bone (allowing flexion/extension)
  • Atlantoaxial joint with axis "odontoid" (allows rotation)
  • Has intervertebral foramina
  • Two vertebral arteries run through the intervertebral foramina
  • Vertebral arteries divide into two posterior cerebral arteries

Typical Cervical, Thoracic, Lumbar Vertebrae

  • Cervical: most prominent spinous process in C7, smaller vertebral bodies, and have a transverse process
  • Thoracic: less movement, more stability, larger bodies
  • Lumbar: more stability, most prominent spinous process, large vertebral bodies

Facet Joints

  • Articulation of superior and inferior articular facets
  • Surrounded by a capsule
  • Important for movement, but also a source of pain

Spinal Cord Protection

  • Ligaments and dura mater with meninges
  • CSF is present in the subarachnoid space
  • Choroid plexus in the ventricles produces CSF

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