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Vertebral Column
The main support for the axis of the body, consists of 33 bones (vertebrae). AKA spinal column
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Vertebra
On of the 33 bones of the spinal column
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Cervical Vertebrae
The seven vertebrae that form the top of the spinal column
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Thoracic
The twelve vertabrae that lie between the cervical and lumbar vertebrae which support the thorax as well
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Lumbar Vertebrae
The five vertebrae that lie between the thoracic and sacral vertabrae helping support the lower back
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Sacrum
Triangular bone formed by 5 fused vertebral bones, that lies between the fifth lumbar vertebra and the coccyx
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Coccyx
Small bone, formed from 4 fused vertabrae that lies below the sacrum at the base of the vertebral column
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Intervertebral Disc
Cartiaginous pad between the vertebrae that absorb shock
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Spinal Canal
Opening in the vertebrae that accomodates the spinal cord. AKA vertebral foramen
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Cervical Spine
- C1 (atlas)- supports head, permits nodding
- C2 (axis)- permits rotation of head
- C7- fist prominent vertebra felt
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Spinal Cord
Central nervous system pathway responsible for transmitting sensory and motor impulses between the brain and the body
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Axon
Extension of a neuron that serves as a pathway for transmission of signals to and from the brain. Major component of white matter
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Ascending Tracts
Bundles of axons within the spinal cord that transmit signals from the body to the brain
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Descending Tracts
Bundles of axons within the spinal cord that transmit signals from the brain to the body
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Contralateral
Opposite side
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Spinal Meninges
Protective structures that cover the spine, consisting of the dura mater, arachnoid mater and pia mater
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Spinal Nerves
31 pairs of nerves that originate along the spinal cord from anterior and posterior nerve roots
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Dermatome
Topographical region of the body surface innervated by a certain nerve root
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Myotome
Muscle and tissue of the body innervated by spinal nerve roots
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Types of Primary and Secondary Spinal Cord Injury
- Concussion
- Contusion
- Compression
- Laceration
- Hemorrhage
- Transection
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Signs and Symptoms of Spinal Cord Injury
- Paralysis of extremities
- Pain with and without movement
- Tenderness along spine
- Impaired breathing
- Spinal deformity
- Priapism
- Posturing
- Loss of bowel or bladder control
- Nerve impairment to extremities
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Spinal Concussion
Temporary and transient disruption of cord function. No structural damage to the cord itself. Usually no residual effect
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Spinal Contusion
Bruising of spinal cord. Some tissue damage, vascular leaking and swelling. Likely to repair itself with limited residual effects or non at all. Takes longer to resolve than concussion
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Spinal Compression
May cause damage to cord. May result in cord ischemia, herniation.
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Spinal Laceration
Spinal cord tear. Likely to result in hemmorhage into cord tissue, swelling, disruptions of cord function. Minor lacerations may yield some recovery. Severe lacerations usually result in permanent deficit.
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Spinal Hemorrhage
Associated with a contusion, laceration or stretching. Can cause ischemia, swelling and irritation.
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Transection
Injury that partially or completely severs the spina cord. Severe and permanent deficits.
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Paraplegia
Paralysis of the lower limbs and trunk
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Quadriplegia
Paralysis of all four limbs
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Complete Cord Transection
A total severing of spinal cord
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Anterior Cord Syndrome
Condition caused by bony fragments or pressure compressing the arteries of the anterior spinal cord and resulting in loss of motor function and sensation to pain and light touch and temperature below injury site.
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Central Cord Syndrome
Condition usually related to hyperexternsion of the cervical spine that results in motor weakness, usually in the upper extremities and possible bladder dysfunction.
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Brown-Sequard Syndrome
Condition cause by partial cutting of one side of the spinal cord resulting in sensory and motor loss on that side of the body.
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Cauda Equina Syndrome
Condition caused when nerve roots at the lower end of the spinal cord are compressed, interrupting sensation, movement and function to the lower body. Bladder and bowel control are very vulnerable to the syndrome.
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Spinal Shock
Loss of spinal reflexes after injury of the spinal cord that affects muscles innervated by the cord segments below the site of injury. Often transient if cord is not seriously damaged
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Neurogenic Shock
Vasodilation caused by spinal cord injury, cerebral trauma or hemorrhage
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Autonomic Hyperreflexia Syndrome
Condition associated with the body's adjustment to the effects of nerurogenic shock. Presentations include sudden hypertenson, bradycardia, headache, blurred vision, sweating and flushing above the point of injury.
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Kyphosis
Exaggerated convexity in the curvature of the thoracic spine as viewed from the side
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Scoliosis
Lateral deviation of the normally straight vertical line of the spine
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Ankylosing Spondylitis
A form of inflammatory arthritis that causes inflammation of the joints between the vertebrae of the spinal and the sacroiliac joints in the pelvis and may also cause inflammation and pain in other body parts
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Bamboo Spine
Development of bony bridges between vertebrae causing the spin to become stiff and inflexible, effectively fusing the spine. Sometimes caused by ankylosing spondylitis
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Spine Exam Quick
- C5- Deltoid
- C6- Wrist extension
- C7- Wrist flexion
- C8- Finger flexion
- T1- Interossei (finger flaring)
- L2/3- Quadriceps
- L4- Ankle dorsiflexion/inversion
- L5- Great toe extension
- S1- Plantar flexion and eversion
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