![]() ![]() A complete SCI results in loss of all motor and sensory function below the level of injury (AIS A).Spinal Cord injury pathophysiology & presentation Complete/incomplete injury Functional recovery may improve after spinal shock resolves. It usually occurs in spinal cord injury to cervical & upper thoracic spinal cord. Spinal shock: Temporary areflexic state with loss of autonomic control, and muscle tone below the level of the injury which lasts up to six weeks after injury.Quadriplegia (also referred to as tetraplegia): dysfunction of arms, legs, bowel & bladder due to SCI in the cervical region.Paraplegia: dysfunction of lower body, bowel & bladder due to SCI in the thoracic, lumbar, or sacral region.Most dramatic effects noted in the first few weeks with most patients stabilizing in 7-10 days. Profound effects are noted if injury is at level of T6 or above. Neurogenic shock: hypotension because of bradycardia and vasodilation due to loss of thoracic sympathetic innervation following SCI.There are five classifications for traumatic spinal cord injury: A-E. AIS: ASIA (American Spinal Injury Association) Impairment Scale: An international classification system for level of impairment because of spinal cord injury.This guideline is aimed at the acute management of children with injury to the spinal cord. Management in the acute phase is aimed at preventing further spinal cord injury, maintaining physiological stability, and commencing routine care of the skin and establishing good bladder and bowel care. In children and adolescents SCI is most commonly a result of road traffic accidents, falls or diving into water.Ĭhildren with SCI experience multiple health care problems including autonomic instability, complications of immobility and bowel or bladder dysfunction. SCI is often associated with a traumatic brain injury. Impairment of these functions result in significant social and psychological consequences for the child and their family. ![]() Spinal cord injury (SCI) in children is a rare injury that can result in permanent loss of motor and sensory function, and dysfunction of the bowel and bladder. ![]()
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