Card Set Information

2013-10-04 23:14:07
SCI Spinal Cord Injury PTA 210

Notes from first SCI power point
Show Answers:

  1. Difference between traumatic vs non traumatic
    Disease or pathology vs injury like MVA or violence
  2. Segment and definition of tetraplegia (quadraplegia)
    • C1-C7
    • partial and or complete paralysis of US, LE, and trunk.
  3. Segment and definition of paraplegia
    • T1-T12
    • Partial or complete paralysis of trunk and B LE
  4. Cauda Equina lesion
    L1 and below
  5. Complete Lesion
    No sense or motor
  6. Incomplete Lesion
    Preservation of some sense or motor function
  7. More common for male or female to have SCI
  8. Cervical Flexion/rotation leading to fracture/dislocation often results in..
    Transeection of SC (often from rear ended MVA
  9. Cervical hyperflexion usually results in..
    • Anterior cord syndrome
    • Head on collison
    • Blow to back of head
  10. Cervical hyperextension
    • Elderly
    • Central cord lesion
  11. Compression injury usually a result of
    • diving
    • high falls
  12. Common direct injuries to SC
    • Gunshot
    • Knife
  13. Most common SCI
    • C5
    • C7
    • T12-L2
  14. Cervical Acute Management
    • Cervical tongs
    • Halo device
  15. Thoracic/Lumbar acute management
    • Bedrest
    • Body cast or jacket
  16. Acute surgery management
    • Decompress of neural tissue
    • Restore bony alignment
    • Stabilize spine through fusion (bone grafts and or internal fixation)
  17. Patho changes following injury
    • Necrosis of grey matter
    • Edema in white matter
    • Myelin disintegrates and axons shrink
  18. Spinal shock
    • Everything flaccid
    • Loss of sense and all reflex below level of lesion
    • Loss of BnB control
    • Autonomic deficits (temp regulation, arterial BP decreases)
    • Lasts 24-48 hours
  19. Bulbocavernous Reflex
    • Reflexive contraction of anal sphincter. 
    • Positive means spinal shock is over
  20. After injury how does spasticity develop?
    Usually flexor first then extensor in ares of lack of innervation
  21. Complete injuries are typically from..
    • Transection
    • Compression
    • Vascular impair.
  22. Incomplete SCIs commonly have
    • Sacral sparing (inferior tracts) 
    • May allow normal BnB function
    • Sexual function
    • Perianal sense must be present
  23. Types of incomplete SCI
    • Brown-Sequard syndrome
    • Anterior cord syndrome
    • Central cord syndrome
    • Dorsal column syndrome
    • Caudina equina syndrome
    • Root escape syndrome
  24. Brown Sequard
    • Hemi section of SC
    • Usually stab or gunshot
    • Motor, proprioception, vibration, decrease reflex, conus, and +babinski
    • Contra side loses pain/temp sensation
    • Good prognosis for IADL
    • Usually has BnB control
  25. Anterior Cord Syndrome
    • Sparing of proprioception, kinesthesia, and vibration sense
    • All voluntary motor gone
    • Depending on how much of SC damaged still have sensory
    • Usually a result of flexion injury