脊髓损伤神经功能评定（Spinal cord injury, neurological function, evaluation）.docVIP

脊髓损伤神经功能评定（Spinal cord injury, neurological function, evaluation） Damage classification About 20% of patients with spinal fractures developed nerve damage. Usually, the more serious the spinal cord injury is, the more serious the spinal cord injury is, but not always. On the other hand, mild spinal injury is often not caused by spinal cord injury, but sometimes it can cause complete neurological dysfunction, possibly in without fracture, because the blood supply disorder, resulting in spinal cord injury. 1 、 cervical spinal cord The most common injuries of A and prefabricated spinal cord were flexion, rotation, dislocation or fracture dislocation, and the best place was C5 - 6. B and compression fractures. C5 - 6 is the most common site. Only half of these injuries cause complete neurological deficits following injury to the plane. C and hyperextension injuries are the most common in the elderly spine with degenerative changes, accounting for about 30% of the cervical spine injuries. The most common in C4 - 5, the most stable injury. Most injuries are compression of the anterior vertebral body and intervertebral disc with the thickened posterior ligament and the yellow band, compression of the spinal cord, resulting in incomplete spinal cord injury. The synthesis of these forces results in central spinal cord injury. 2 、 thoracolumbar spinal cord A, at this level, most of the spine injuries are flexion, rotation, displacement, or fracture dislocation. The most common T12 - L1 causes the upper vertebral body to move forward below the vertebral body. This injury is usually unstable and often leads to complete impairment of the spinal cord, cone or cauda equina function. B and compression fractures are common, usually manifested by decreased vertebral height. The injury is stable and the nerve damage is rare. 3, hyperextension injury. Rare, usually resulting in complete spinal cord injury. 4. Open injuries. Visible in gunshot or stab wounds. Spinal cord injuries can be