Sunday, March 18, 2012

Consequences of spinal injury

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A DISCUSSION ON THE ANATOMY OF CHRISTOPHER REEVE’S INJURY





AND THE CONSEQUENCES OF INJURIES TO THE CERVICAL VERTEBRAE





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In May of 15, during the cross-country portion of such an event in Culpeper, Virginia, Reeves Thoroughbred, Eastern Express, balked at a rail jump, pitching his rider forward. Reeves hands were tangled in the horses bridle and he landed head first, fracturing the uppermost vertebrae in his spine. Reeve was instantly paralyzed from the neck down and unable to breathe. Prompt medical attention saved his life and delicate surgery stabilized the shattered C1-C vertebrae and literally reattached Reeves head to his spine. This assignment will examine the complications involved with Spinal Cord Injury, specifically in the case of Christopher Reeve.


What is the Spinal Cord? Why is it Important?


The spinal cord runs from the base of the brain to the end of the back. The spinal cord carries nervous system information for body movements and sensations of touch. Because the spinal cord is such an important part of the nervous system, it is surrounded and protected by bones called vertebrae.


The spinal cord acts as a highway of information for the brain to command the bodys motions. Damage to the spinal cord can occur from a traumatic injury. The backbone may pinch the spinal cord, causing it to bruise or swell, or the injury may tear the spinal cord and its nerve fibers, which results usually in paralysis and the loss of function from the area of injury down.


This diagram demonstrates how the SC is encased be the vertebrae in its foramen, therefore how easily it could be damaged if the vertebrae is broken, fractured, or shattered in the case of Christopher Reeve.


The following table lists the possible conditions and effects that result from


SCI in certain areas


Level Areas Effects


C1 Blood supply to the head, pituitary gland, scalp, inner and middle ear, parasympathetic nervous system Headaches, nervousness, insomnia, head colds, high blood pressure, migraine headaches, nervous breakdowns, amnesia chronic tiredness, dizziness


C Eyes, optic nerves, auditory nerves, sinuses, mastoid bones, tongue, forehead Sinus trouble, allergies, crossed eyes, deafness, eye troubles, earache, fainting spells, certain cases of blindness.


C Cheeks, outer ear, face bones, teeth, trigeminal nucleus Neuralgia, neuritis, acne or pimples, eczema


C4 Nose, lips, mouth, Eustachian tube, tonsils Hay fever, catarrh, hearing loss, adenoids, tonsillitis


C5 Vocal cords, neck glands, pharynx, shoulders, thyroid gland. Laryngitis, hoarseness, sore throat or quinsy, pain in the upper arm/shoulder, thyroid problems


C6 Neck, muscles, elbows. Stiff neck, whooping cough


C7 Arms from the elbows down, including hands, wrists, fingers Pain in lower arms or hands


T1 Oesophagus, trachea Asthma, cough, difficulty breathing, shortness of breath.


T Heart, including its valves and covering, coronary arteries, bronchials Functional Heart Conditions and chest conditions, asthma, high/low blood pressure


T Lungs, bronchial tubes, pleura, chest, breast Bronchitis, pleurisy, pneumonia, congestion, influenza, asthma


T4 Gall Bladder, common bile duct Gall Bladder conditions, jaundice, shingles


T5 Liver, solar plexus, blood Liver conditions, fevers, anaemia, poor circulation.


T6 Stomach Stomach troubles including nervous stomach, indigestion, heartburn, dyspepsia


T7 Pancreas, duodenum Ulcers, gastritis, blood sugar level


T8 Spleen Lowered resistance


T Adrenal and supra-renal glands Allergies, hives, energy level


T10 Kidneys Kidney troubles, hardening of the arteries, chronic tiredness, nephritis, pyelitis


T11 Kidneys, ureters Skin conditions such as acne, pimples, eczema or boils


T1 Small intestines, lymph circulation Rheumatism, gas pains, sterility


L1 Large intestines, inguinal rings Constipation, colitis, dysentery, diarrhoea, some types ruptures of hernias


L Appendix, abdomen, upper leg Cramps, appendicitis, thigh pain


L Sex organs, uterus, bladder, knees Bladder troubles, menstrual troubles such as painful or irregular periods, miscarriages, bed wetting, impotency, change of life system


L4 Prostate gland, muscles of the lower back, sciatic nerve Sciatica, lumbago, difficult, painful or too frequent urination, back aches


L5 Lower legs, ankles, feet, sciatic nerve Poor circulation in the legs, swollen ankles, weak ankles, sciatica, varicose veins


SACRUM Hip Bones, Buttocks, groin Sacro-iliac conditions, groin pain


COCCYX Rectum, anus Haemorrhoids, pruritus, pain at the end of the spine on sitting


This table shows what conditions could result from damage to the Spinal Cord. Christopher Reeve, when he fell from his horse, shattered C1 and C, therefore, is at risk of contracting all of these complications, except of course those apparent only in females, eg miscarriages. Christopher is at constant risk of pneumonia, infections, blood clots, wounds that do not heal, as autonomic disreflexia, as well as complete motor loss below the shoulders, which could sometimes result in violent incontrollable spasms. Because Christopher Reeve’s injury was so high, he also is unable to speak independently, breathe independently, and until recently, had no feeling in his members whatsoever. He has since regained feeling down the spine, in his left leg, and areas of the left arm.


This Diagram again demonstrates purely the level of motion loss associated with the injury of the spinal cord in separate regions.


This Diagram is a simple demonstration of what functions would be damaged by a Spinal Cord Injury in certain areas.


Bibliography


Henry Grey, Anatomy of the human body, 0th ed re-edited by Warren H. Lewis.


http//www.spinalinjury.net/


Christopher Reeve Homepage,


http//www.fortunecity.com/lavender/greatsleep/10/


http//www.spinal-cord-injury-resources.com/


Van De Graff, Human Anatomy


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