Spinal cord injury levels and classification pdf

ASIA international standards for neurological classification of spinal cord injury worksheet (PDF 579KB) It is important to include the score on the ASIA impairment scale in the referral for a spinal injured client. This score can usually be found in the medical notes of a client who has been admitted into either of the spinal units. A spinal cord injury (SCI) is damage to the spinal cord or the spinal nerve roots within the spinal canal and resulting in temporary or permanent loss of movement and/or feeling. What are common causes of spinal cord injury? According to the National SCI Statistical Center, motor vehicle crashes are the most common cause of SCI. With C5 grading as normal (5/5) and C7 being less than normal (grade 2), the motor level would be classified as C6 if the NT muscle function grade is ≥3/5 or C5 if the grade is <3/5. The ASIA impairment scale consists of 5 categories: AIS A indicates no motor and no sensory function remain below level of injury. All complete spinal cord injuries are AIS A, and this is the most severe ASIA level. AIS B refers to an incomplete injury where sensory function is preserved below level of injury, but no motor function remains. Motor Functional at Any Level AIS D $352,279 $42,789 $1,600,058 $1,129,365 Data Source: Economic Impact of SCI published in the journal Topics in Spinal Cord Injury Rehabilitation, Volume 16, Number 4, in 2011. ASIA Impairment Scale (AIS) is used to grade the severity of a person's neurological impairment following spinal cord injury. The four spinal cord regions are: The cervical spinal cord: This is the topmost portion of the spinal cord, where the brain connects to the spinal cord, and the neck connects to the back.This region consists of eight vertebrae, commonly referred to as C1-C8. All spinal cord numbers are descending, so C1 is the highest vertebra, while C8 is the lowest in this region. the 10 body regions are the following: s00-s09 head s10-s19 neck $20-$29 thorax $30.--$39 abdomen, lower back, lumbar spine and pelvis $40-$49 shoulder and upper arm $50-$59 elbow and forearm $60-$69 wrist and hand $70-$79 hip and thigh $80-$89 knee and lower leg $90-$99 ankle and foot within each block of 10 … Definition/Description. Spinal cord injury is defined as traumatic damage to the spinal cord or nerves at the end of the spinal canal. This affects the conduction of sensory and motor signals across the site of the lesion. There are two types: incomplete and complete injury. What level is the lesion? Tetraplegia (Quadriplegia): "impairment or loss of motor and/or sensory function in the cervical segments of the spinal cord" Paraplegia: "impairment or loss of motor and/or sensory function in the thoracic, lumbar or sacral (but not cervical) segments of the spinal cord." = OVERSIMPLIFICATION Classification Descriptive tetraplegia injury to the cervical spinal cord leading to impairment of function in the arms, trunk, legs, and pelvic organs paraplegia injury to the thoracic, lumbar or sacral segments leading to impairment of function in the trunk, legs, and pelvic organs depending on the level of injury. Arm function is preserved Spinal stabilization and management zProtect spine at all times during the management of patients with multiple injuries. zUp to 5% of spinal injuries have a second, possibly non adjacent, fracture elsewhere in the spine zIdeally,