Spine and Spinal cord injury - Mahidol University

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Level • Motor level The most caudal key muscle with at least gr. 3 power. The remaining cephalad key muscle groups must have grade 5 strength. • Sensory level the most caudal segment of the spinal cord with normal sensory function.
Spinal shock • “ .. All phenomena surrounding physiologic or anatomic transection of the spinal cord that results in temporary loss or depression of all or most spinal reflex activity below the level of injury.” (Atkinson PP Atkinson JLD Mayo Clin Pro 1996;71:384-9) • Loss of somatic motor, sensory, and sympathetic autonomic function due to spinal cord injury. (Kiss Z, Tator CH 1993)
Page 1 and 2: Spine and Spinal cord injury Akkapo
Page 3 and 4: • Level of spinal injury 55 % cer
Page 5 and 6: Primary and secondary tissue damage
Page 7 and 8: Prehospital management Immobilizati
Page 9 and 10: • Log-rolling techniques during e
Page 11 and 12: • Immobilization and transportati
Page 13 and 14: Emergency room and acute management
Page 15 and 16: • Nasal vs. Oral - controversy de
Page 17 and 18: Neurogenic shock • Impairment of
Page 19 and 20: Findings associated with spinal inj
Page 21: • Key muscle groups C5 = Elbow fl
Page 25: Completeness • Complete (ASIA gra
Page 29 and 30: Spinal shock • Return of the Bulb
Page 31 and 32: Central cord syndrome • First des
Page 33 and 34: Anterior cord syndrome • Patients
Page 35 and 36: Conus medullaris syndrome • Typic
Page 37 and 38: Bell’s cruciate paralysis • Fir
Page 39 and 40: Radiographic evaluation cervical sp
Page 44 and 45: CT scan • Delineate bony anatomy
Page 46 and 47: Lateral flexion/extension • If th
Page 48 and 49: Radiographic evaluation thoracic an
Page 50 and 51: Prognostic factors for recovery •
Page 52: Occipito-Cervical Dislocation HIGH
Page 55 and 56: • 30 yrs old female • Motor veh
Page 57: Closed reduction
Page 61 and 62: Atlantoaxial dislocation
Page 63 and 64: C1 lateral mass & C2 pedicle screws
Page 65: Subaxial (C3-C7) Cervical spine inj
Page 69 and 70: Research • Two categories 1. Agen

Spine and Spinal cord injury - Mahidol University

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