Spinal Cord Injury Analysis

The spine is one of the most important structures in the human body. The spine is located in the dorsal cavity and consists of 24 bones, called vertebrae. These vertebrae play a crucial role in protected the body’s command center, the spinal cord. But what happens when a disorder prevents the spinal column from functioning correctly? Scoliosis is a musculoskeletal disorder that causes abnormal lateral curvature of the spine and it effects millions of people in the US per year. I have chosen this disorder because I am aspiring to become a chiropractor and scoliosis is a typical condition that chiropractors help treat on a daily basis.

Now that I have shared a brief overview of the spinal cord and some statistics about spinal cord injuries, we will look at the past research that has led to the treatments most commonly used today. In 1990, a steroid called dexamethasone was discovered in human trials to preserve some motor and sensory function if administered at high doses within 8 hours of injury. Surgery used to remove fluid, tissue, or bone fragments, or to stabilize fractured vertebrae by fusing bones or inserting hardware has also proven to be one of the most thorough measures to prevent further harm. I received both of these treatments after my accident, and they are the same that have been used for the past decade. Until recently, doctors had no way of limiting such disabilities, aside from stabilizing the cord to prevent added destruction, treating infections, and prescribing rehabilitative therapy to maximize any remaining capabilities.

A Spinal Cord Injury is damage to any part of the Spinal Cord nerves at the end of the Spinal Canal. Every Year, 17,000 Spinal Cord Injuries are reported in the USA alone. The Most Frequent age for Spinal Cord Injuries is 19. Almost 200 Spinal Cord Injuries were reported for High School Football. People who suffer from SCI (Spinal Cord injuries) can experience muscle weakness, poor coordination, and overactive reflexes.There is many

Spine injuries hurt a lot for example your spine can pop outback this up. 2-100,000 get spine injuries.

Spinal cord injuries can be extremely debilitating with significant impairment in autonomic, sensory, and motor function (Coll-Miro et al., 2016). The prevalence in Canada is on the rise with approximately 86,000 individuals suffering from such injuries as of 2010 (Noonan et al., 2012). Spinal cord injuries are generally classified as either traumatic or non-traumatic, depending on etiology (Sabapathy et al., 2015). In addition, they are subdivided into either complete or incomplete, depending on whether the spinal cord section is fully or partially damaged (Wilberger and Dupre, 2015). The latter classification has better clinical outcomes as some neurologic function is reserved (Wilberger and Dupre, 2015). Other subtypes include paraplegia and quadriplegia denoting paralysis of the lower body or all limbs, respectively (Wilberger and Dupre, 2015; Mayo Clinic Staff, 2014). The pathogenesis of spinal cord injuries is characterized by primary tissue damage due to the force of impact, followed by secondary tissue damage as a result of the inflammatory response (Sabapathy et al., 2015; Coll-Miro et al., 2015). The symptoms and severity may vary depending on the location and pathology of the contusion (Sabapathy et al., 2015). Presenting symptoms include but are not limited to numbness or pain in the extremities, loss of sensation, impaired movement or gait, abnormal reflexes, disrupted bladder or bowel function, and sexual dysfunction (Mayo Clinic Staff, 2014). Several

The nervous system is associated to many neurological diseases including strokes, Alzheimer’s disease, Parkinson’s disease, sleep disorders, and spinal cord injuries. Spinal cord injuries arise to be extremely common, in fact, each year in the United States there are ten thousand new spinal cord injuries alone (Spinal Cord Injury). The spinal cord is an immensely fragile part of the body, it contains a bundle of nerve fibers that connect the brain to the rest of the body. Since the spinal cord is exceptionally fragile it has to be protected by something hard, like the vertebral column. The brain, spinal cord, and the vertebrae is considered the central nervous system, whereas, the peripheral nervous system is formed when the nerves that enter and exit the spinal cord (Boyce). When the spinal cord, brain, or vertebral column becomes damaged, the individual has a higher risk of developing paralysis. Since the nervous system contains all three parts of the nervous system, paralysis is diagnosed as a neurological injury.

Almost half a million people in the US suffering from lumbar spinal stenosis and many more experiencing cervical spinal stenosis.

Spinal cord injury is a serious problem that effects close to 250,000 people in the United States with 10,000 people being injured per year . There are many things that can lead to spinal cord injury, including athletic injuries, car accidents, and recreational activities like swimming and biking. It primarily effects those between the ages of 16 and 30 and drastically effects the rest of their lives. It is a very debilitating injury that requires extensive medical care, often leaves the patients in a great deal of pain for the rest of their lives(2), and the treatment of which costs $10 billion dollars a year in the US.(facts from site 1) With all of these factors spurring research on there is a strong drive to

Spinal cord injuries result from a fracture or dislocation of the vertebrae that is typically due to a sudden, forceful blow to the spine (“NINDS Spinal Cord Injury Information Page”, 2016). According to Early (2006), A traumatic accident, such as a shooting, stabbing, car accident, or diving accident, may result in a spinal cord injury (p. 535). According to the National Institute of Neurological Disorders and Stroke (2016), Damage to the spinal tissue results from displaced or shards of vertebral bone fragments, damaged ligaments, or discs that bruise or tear the delicate tissue and destroy axons. Destruction of axons result in the inability to carry signals from the brain and spinal cord to the rest of the body (“NINDS Spinal Cord Injury

Spinal cord injuries are characterized by two distinct injury phases. The primary injury phase is represented by all the tissue directly damaged at the time of injury. The damage seen in this phase is primarily shearing of cells, destruction of local vasculature, and severe disruption of spinal cord function. The secondary injury phase is characterized by inflammation of the injury site, immune-mediated tissue destruction, and edema formation at the lesion site. The nature of spinal cord injuries makes the damage done by the primary injury irreversible. The majority of therapeutic research is done with the intention of lessening the damage done during the secondary injury phase. One major complication faced by researchers trying to control the secondary injury phase is the localized destruction of vasculature. Without a constant supply of oxygen and nutrients, many of the cells in the spinal cord will begin to die rapidly, oftentimes releasing biological signals that encourage other cells to die as well. The uncontrolled movement of fluid into the lesion site causes the tissue to swell, further complicating the processes of rebuilding vasculature. The movement of immune

There are many causes of the spinal cord injuries such as the vehicular accidents, falls, recreational activities and work place injuries. The spinal cord injury can also occur in medical negligence cases involving the surgical procedures in the neck and back.

A spinal cord injury, better known in the medical field as an SCI, is when damage occurs to any

In the United States alone, there are approximately 12,000 new spinal cord injury cases each year (The National SCI Statistical Center [NSCISC], 2013). The severity of the patient’s injuries depends on how severe the spinal cord injury is, and where it is located at on the spinal column. If the spinal cord injury is complete, it renders the patient paralyzed below the injury. If the spinal cord injury is incomplete, the patient may have some movement and sensation below the injury (Medline Plus, 2014).

While true spinal cord trauma is a devastating injury its actual incidence is extremely low. In a study that examined one million trauma victims, only 2% had true spinal cord damage and of that 2%, only 1% had neurological deficits of any kind. Moreover, there is little data to suggest that our efforts at spinal immobilization are even effective. (Santa Cruz County EMS Integration Authority, 2012, para. 2)

A Spinal cord injury is a harm to one or all parts of the spinal cord. A spinal cord injury can affect many aspects of a person’s life such as making him weak and unable to perform daily activities. There are two factors that matter when it comes to spinal cord injury: the part of the spinal cord that is affected and the seriousness of the injury. Moreover, the seriousness of a spinal cord disease is distinguished by two terns: complete and incomplete. A spinal cord injury is complete, when it’s hard or become impossible to move the lowest part of the injured spinal cord. On the other hand, a spinal cord injury is incomplete, when it still possible to move the lowest part of your spinal cord even after an injury. Furthermore,