Spinal Cord Injury.pptx

SPINAL CORD INJURY R I TA A. D E L LO S T R I T T O , P H D , R N , E N P , A C N P - B C , FA A N P SPINAL CORD INJURY Neuro deficit dependent on the level of the injury http://25.media.tumblr.com/tumblr_lxgg53JPqS1qgrnh8o1_1280.jpg ...

SPINAL CORD INJURY R I TA A. D E L LO S T R I T T O , P H D , R N , E N P , A C N P - B C , FA A N P SPINAL CORD INJURY Neuro deficit dependent on the level of the injury http://25.media.tumblr.com/tumblr_lxgg53JPqS1qgrnh8o1_1280.jpg  SPINAL INJURY STATS Nearly half occur in ages 16-30 Male > Female Level and Extent of Injury Incomplete Tetraplegia – 40.6% Incomplete paraplegia – 18.7% Complete paraplegia – 18% Complete tetraplegia – 11.6%  INCOMPLETE TETRAPLEGIA http://www.jmedicalcasereports.com/content/figures/1752-1947-5-529-1.jpg COMPLETE TETRAPLEGIA SPINAL CORD ANATOMY INCOMPLETE SPINAL CORD INJURIES Spinal Cord injury with some preserved motor or sensory below the level of the injury  CENTRAL CORD SYNDROME Most common injury Elderly with minor extension injury Usually preexisting cervical spondylosis Findings Motor deficit worse in UE vs LE Hands more than arms http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries  CENTRAL CORD SYNDROME Xray Fracture/dislocation Diagnosed with flexion/extension view to evaluate ligaments CT Shows a narrow spinal canal MRI Hematoma, impingement from bone or intravertebral disc  CENTRAL CORD SYNDROME http://ajs.sagepub.com/content/34/10/1685/F2.large.jpg  ANTERIOR CORD SYNDROME Injury cause by direct compression of anterior cord or anterior Spinal Artery Flexion/Compression injury Exam Loss of motor and pain Preserve proprioception and vibratory senses http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries  ANTERIOR CORD SYNDROME http://147.140.2.19:8080/storage/ss2/docs/20100719145335125/MIRCdocument.xml  POSTERIOR CORD SYNDROME Very Rare Exam Loss of proprioception Preserve motor, pain, light touch http://www.orthobullets.com/spine/2008/incomplete-spinal-cord- injuries  BROWN-SEQUARD SYNDROME Cord hemitransection Penetrating trauma http://www.orthobullets.com/spine/2008/incomplete-spinal-cord-injuries  BROWN-SEQUARD SYNDROME Exam http://www.primehealthchannel.com/brown-sequard-syndrome.html  STAB WOUND CT http://www.onlinejets.org/articles/2012/5/4/images/ JEmergTraumaShock_2012_5_4_371_102421_f1.jpg  MRI http://www.nature.com/sc/journal/v44/n8/images/3101871f2.jpg  SCIWORA SYNDROME Spinal Cord Injury without Radiologic Abnormality Most often in pediatric 2/3 of severe cervical injuries in children