Spinal Cord Injury Flashcards
What are common traumatic causes of spinal cord injury?
motor vehicle accidents, falls (31% of all SCIs), violence, sports accidents
What are common nontraumatic causes of spinal cord injury?
Diseases like cancer and MS, congenital disorders like spina bifida
What are the two most significant physical impairments of spinal cord injury?
Mobility loss, sensory loss
What are important areas of significance to remember about spinal cord injury?
psychological impact, financial burden, quality of life, resource intensive care
What does primary injury refer to with spinal cord injury?
The initial trauma / damage
What does secondary injury refer to with spinal cord injury?
Damage that occurs after initial injury
What are some examples of secondary spinal cord injury?
Ischemia, hypoxia, edema -> compression, hemorrhage of spinal cord blood flow
Above what level does spinal cord injury turn from paraplegia to tetraplegia / quadraplegia?
T1 and above
What are the four classifications of mechanism of spinal cord injury?
Flexion, hyperextension, compression, flexion rotation
What are the two classifications of level of spinal cord injury? (level = “at what level of anatomy”)
Skeletal and neurologic
What are the two classifications of degree of spinal cord injury?
Complete and incomplete
What is the difference in effects between complete and incomplete spinal cord injury?
Complete results in total loss of sensory and motor function. Incomplete results in mixed and varying levels of loss of sensory and motor function.
What nerve function can allow quadriplegics to be ventilator-independent?
Phrenic nerve
What is the difference between upper and lower motor neurons?
UMNs reside in the brain and axons descend into the spinal cord. LMNs reside in the spinal cord and axons descend into muscle fibers.
Which kind of paralysis does upper motor neuron injury result in?
Spastic paralysis
What kind of paralysis does lower motor neuron injury result in?
Flaccid paralysis