Types of Spinal Cord Injuries
There are two basic types of spinal cord injuries: incomplete and complete.
With an incomplete spinal cord injury, the spinal cord is only partially damaged or severed. Incomplete spinal cord injuries lead to varying degrees of loss of sensation or paralysis below the level of the injury. A few types of incomplete spinal cord injuries include:
- Central cord syndrome, or injury to the nerves in the core of the spinal cord, which can cause partial paralysis and loss of fine motor control
- Anterior cord syndrome, or an injury to the front of the spinal cord, which often affects movement
- Brown-Sequard syndrome, or trauma to the side of the spinal cord, which may cause paralysis on one side of the body and reduced sensation on the other side
With a complete spinal cord injury, the spinal cord is crushed or completely severed all the way through. A complete injury permanently eliminates the brain’s ability to send signals to parts of the body below the level of the injury, resulting in paralysis.
An injury lower on the spinal cord may result in paraplegia, or paralysis of the legs and/or pelvis and torso, while a complete injury in the cervical spine typically results in quadriplegia, or paralysis from the neck or shoulders all the way down the body.
What Are the Symptoms of a Spinal Cord Injury?
Immediately following an accident or other trauma, symptoms that someone might experience if they have sustained a spinal cord injury include:
- Weakness or paralysis
- Numbness or lack of sensation in extremities
- Severe pressure or pain in the neck, back, or head
- Difficulty walking or maintaining balance
- Loss of bowel or bladder control
- Difficulty breathing
- Odd twisting or positioning of the neck or back
Longer-term, a spinal cord injury will cause chronic symptoms, such as:
- Pain or intense burning or stinging sensations in the back
- Paralysis or loss of motor control
- Altered sensations or loss of sensations of touch, heat, or cold
- Loss of bladder or bowel control
- Extreme muscle spasms
- Loss of sexual function
- Difficulty with breathing or coughing
What to Expect as You Begin Treatment for a Spinal Cord Injury
Unfortunately, the damage that occurs in a spinal cord injury cannot be repaired. Instead, treatment for spinal cord injuries focuses on preventing further damage and rehabilitation to help injury victims resume an active and productive life. Immediately following an accident, treatment for spinal cord injuries include:
- Immobilization of the head, neck, and back to prevent further damage to the spinal cord
- Medications to help with swelling or pain
- Surgery to remove foreign objects or bone fragments, repair herniated discs, treat fractured vertebrae, and install plates, rods, or screws to help stabilize the spine and prevent future deformity
Once a spinal cord injury has been stabilized, treatment shifts to rehabilitation and to preventing or reducing the risk of secondary complications of the injury. Treatments may include:
- Medications to manage the secondary effects of a spinal cord injury, including pain medications, muscle relaxers to help with spasticity, drugs to manage bladder and bowel control, blood pressure or blood thinner medications, or medications to help improve sexual function
- Rehabilitation services, including physical and occupational therapy, recreational therapy, dietician services, social services, or psychotherapy for depression, anxiety, or other emotional distress that a spinal cord injury victim may experience
- Medical and mobility devices to help an injury victim remain active and independent, including wheelchairs, electronic aids, and voice-controlled computer systems