Joe Buttler

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A Clinical Perspective And Definition Of Spinal Cord Injury

Spinal cord injury (SCI) can be complete or incomplete. The level of injury in SCI is defined as the most caudal segment with motor function rated at greater than or equal to 3/5, with pain and temperature preserved. The standard neurological classification of SCI provided by the American Spinal Injury Association (ASIA) assigns grades from ASIA A (complete SCI) through ASIA E (normal sensory/motor), with B, C, and D representing varying degrees of injury between these extremes. An online paper writing service offers an original spinal cure papers crafted by our professional essay writers.

The most common causes of SCI include trauma (motor vehicle accidents, sports, violence, falls), degenerative spinal disease, vascular injury (anterior spinal artery syndrome, epidural hematoma), tumor, infection (epidural abscess), and demyelinating processes. Central cord syndrome, the most common SCI, involves loss of sensory and motor function in the upper extremities with relative sparing of the lower extremities (SDC Figure 2). The most common cause of central cord syndrome is hyperextension injury in the setting of underlying cervical stenosis.

Brown-Sequard syndrome, or spinal cord hemisection, results in ipsilateral loss of motor and posterior column function, with contralateral pain and temperature loss. Penetrating trauma is the most common cause, and Brown-Sequard syndrome offers the best prognosis for recovery among the incomplete SCIs. Anterior cord syndrome is most commonly the result of a spinal cord infarct in the distribution of the anterior spinal artery. Paraplegia occurs, and anterior cord syndrome has the worst prognosis for recovery among the incomplete SCIs.

In posterior cord syndrome, which is rare, a posterior injury or lesion causes loss of posterior column function, including position and vibratory sense. Management of SCI varies according to cause, acuity, and location of the injury. In trauma, airway/breathing/circulation is the first priority. Spinal immobilization, blood pressure management to maintain spinal cord perfusion, possible steroid treatment, spinal imaging, and diagnosis are essential. Surgery, when indicated, can decompress neural elements and stabilize the spine. Always choose the best write my paper service that guarantees timely delivery of essays related to spinal cure.

New treatments for SCI present many challenges, including animal modeling, clinical trial design, and patient enrollment and randomization. Researchers are working to develop more effective and safer treatments.