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Brown-Sequard Syndrome<br />

Where the damage is mainly <strong>on</strong> <strong>on</strong>e side of<br />

the cord. On the injured side, muscle power<br />

may be reduced or absent and pressure<br />

and positi<strong>on</strong> sense are disordered. The<br />

other side experiences loss of, or reduced<br />

sensati<strong>on</strong>s of pain and temperature but<br />

movement, pressure and positi<strong>on</strong> sense<br />

tend to remain.<br />

Tetraplegia / Quadriplegia<br />

Those who injure their spine in the cervical<br />

regi<strong>on</strong> will have partial or complete paralysis<br />

of their arms. They are referred to as people<br />

who have tetraplegia because four limbs are<br />

affected. Quadriplegia describes the same<br />

c<strong>on</strong>diti<strong>on</strong> and is more comm<strong>on</strong>ly used in<br />

America.<br />

Neurology<br />

Any injury that damages the spinal cord<br />

will be described by medical professi<strong>on</strong>als<br />

as ‘an injury that has neurology’ i.e. it has<br />

neurological damage.<br />

An injury to the spine that does not damage<br />

the spinal cord is referred to by medical<br />

professi<strong>on</strong>als as an ‘injury without having<br />

neurology’. This means that the neurology<br />

(nervous system) is unaffected and normal.<br />

Most patients without any neurology will be<br />

treated by orthopaedic specialists and not<br />

referred to a spinal unit.<br />

Cauda Equina Lesi<strong>on</strong><br />

The ‘horses tail’ of nerves that spread out<br />

from the base of the spinal cord. An injured<br />

cauda equina may result in a patchy loss<br />

of power and sensati<strong>on</strong> to the lower limbs.<br />

Functi<strong>on</strong>al recovery can happen over 12-<br />

18 m<strong>on</strong>ths if the roots are not completely<br />

crushed. The bowel and bladder are usually<br />

severely affected<br />

Paralysis<br />

Paralysis simply means the inability to feel<br />

or deliberately move parts of your body.<br />

Paraplegia<br />

The term used that describes the c<strong>on</strong>diti<strong>on</strong><br />

of paralysis below the level of the neck<br />

(below T1) is paraplegia. People who have<br />

paraplegia will have partial or total paralysis<br />

of their legs and trunk.<br />

“When I was going through<br />

rehabilitati<strong>on</strong> I learnt a lot off<br />

other para’s and tetras who<br />

came back in the unit for reassessments<br />

etc.<br />

They provided me with a lot of<br />

feedback and helpful tips and<br />

informati<strong>on</strong>. I seemed to take<br />

more notice of them because they<br />

had a chair under their bum.<br />

More credibility I suppose?”<br />

Keith Jarvie C4/5<br />

35<br />

© New Zealand Spinal Trust, 2014

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