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12 Cards in this Set

  • Front
  • Back
Causative of spinal injury
1. vehicular
2. falls
3. sports injuries
4. penetrating
Anterior cord
most common associated with lesion
anterior spinal artery alert
neurogenic bowel and bladder
Anterior cord (loss, save)
loss of motor function
save position, vibration, touch
posterior cord syndrome
rare to have damage to posterior cord
Posterior cord syndrome (loss, save)
loss of posititon, vibration, crude, touch
save motor function (can move)
Brown sequared
one side or half the cord
vertical response
usually penetrating injuries
typical with gunshot
Brown sequared (damaged, loss, save)
damaged side, same side, ipsilateral
loss of motor function
loss of position, vibration, deep touch
opposite side: loss of pain, temperature, light touch,
Save motor function
Central cord
ASSESSMENT IS KEY!
often seen with hyperextension
axial load shift
elderly alert
r/t arthritis, osteoporosis
bladder assessment is needed
central cord (loss, save)
Loss of motor function of upper extremities
Incomplete loss of motor function from nippe to pubic area
save sensory but is variable
Cauda Equina Lesions
lumbo sacral nerve root destruction
peripheral nerves NOT spinal cord
good news will regenerate
Cauda Equina lesions
Bladder may be a problem
just a painful "buttocks"
Conus Medullaris
major damage to lumbar nerve root
flaccid lower extremities
bowel and bladder reflex is gone
male rectile dysfunction may occur
happens with multiple back surgeries and failure