Abstract
Traumatic spinal cord injury (TSCI) is a debilitating disease that poses significant functional and economic burden on both the individual and societal levels. Prognosis is dependent on the extent of the spinal injury and the severity of neurological dysfunction. If not treated rapidly, patients with TSCI can suffer further secondary damage and experience escalating disability and complications. It is important to quickly assess the patient to identify the location and severity of injury to make a decision to pursue a surgical and/or conservative management. However, there are many conditions that factor into the management of TSCI patients, ranging from the initial presentation of the patient to long-term care for optimal recovery. Here, we provide a comprehensive review of the etiologies of spinal cord injury and the complications that may arise, and present an algorithm to aid in the management of TSCI.
Highlights
Despite recent advances in understanding the pathogenesis and treatment of traumatic spinal cord injury (TSCI), it remains a devastating event, often resulting in severe and permanent disabilities
TSCI often occurs in young, healthy adults, which results in decades of lost productivity and quality adjusted life years (QALY)
Prospective, randomized, double blind I study in 46 SCI patients for the purpose of comparing medical complications
Summary
Despite recent advances in understanding the pathogenesis and treatment of traumatic spinal cord injury (TSCI), it remains a devastating event, often resulting in severe and permanent disabilities. Loss of vibration and proprioception, and contralateral loss of pain and temperature sensation beginning approximately two spinal levels below the injured level This unique pattern of contralateral sensation loss is due to the decussation of spinothalamic fibers that occurs approximately two spinal levels above the level of injury since these fibers have yet to decussate and are preserved. Common causes of this syndrome include ballistic and penetrating injuries. The occurrence of the two shocks is not mutually exclusive of one another
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
