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Spinal Cord Impairment<br />

You have had an accident or illness that<br />

has resulted in a spinal cord injury or<br />

impairment (SCI). This chapter will begin<br />

to explain how your body works and how<br />

your impairment is affecting the way it<br />

functions. It is only an introduction to<br />

the range of effects your SCI may have on<br />

you. Spinal cord impairments are different<br />

from individual to individual. You may<br />

experience only a few of the effects or the<br />

full range. This book will get you started,<br />

make you hungry for more information, and<br />

raise more questions for you to ask. Talk to<br />

your medical professionals about what may<br />

be relevant for you.<br />

Stabilising<br />

Depending on the nature of your injury the<br />

position of your spine may need to be held<br />

still for some time. If your injury is to your<br />

neck, you may be on bed in traction, that is,<br />

with a small weight atta hed to head tongs.<br />

This helps to keep your bones in proper<br />

alignment while they heal. You would<br />

normally be in traction for six weeks.<br />

Immediate Treatments<br />

Surgery<br />

You may need surgery to stabilise the<br />

damaged bones of your spine. The bones<br />

may not be stable, there may be a noticeable<br />

deformity, or a bone fragment may be<br />

pushing onto the spinal cord. Often metal<br />

plates and screws are used to stabilise the<br />

spine and avoid further damage to the cord.<br />

Please bear in mind that stabilising surgery<br />

will only repair the bones of the spine.<br />

Other neck injuries may need a Halo ring and<br />

jacket, or a hard collar to keep the neck still.<br />

“Once you’ve got to [the unit] listen<br />

to all advice, staff [are] excellent<br />

(indeed marvellous) but very busy.<br />

Be persistent (but polite!) with your<br />

requests. Staff are very pressured,<br />

sometimes answers take a little time.<br />

Save your energy for the big issues.”<br />

Roy Dale L4/5<br />

© New Zealand Spinal Trust, 2014<br />

17

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