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Spinal Cord Injury

The spinal cord injury refers to the rupture of anatomical structure of spinal cord, thereby leading to reversible or irreversible alterations in the sensorimotor system following the traumatic condition. Sisto describe the prevalence of spinal cord injuries in terms of significant disabilities experienced by the individuals across regions of United States. The disfigurement of the spinal cord indeed results in paralysis or sustained extremities pain, as evidenced by the clinical literature. The preliminary diagnostic modalities utilized in accessing the cases of spinal cord injuries pertain to radiologic investigations including CAT and MRI scans processed to diagnose conditions of spinal traumatic cord contusion and lumbar disk protrusion.

Harvey defines spinal cord injury in terms of the neurological disruption of the spinal cord resulting from impact of injury or dislocation. The evidence-based literature reveals the prevalence of incidences in context to spinal cord injuries among individuals pertaining to the younger age groups. Most of the reported cases of these injuries related to the trauma of cervical and lumbar regions followed by the road traffic accidents. The manifestations of the spinal cord injuries vary with the intensity and extent of the neurological disfigurement following the influence of the traumatic condition. However, the rare spinal morbidities in context to the pathophysiological etiology pose significant health challenges among the affected patients across the globe. Pain is the most prevalent characteristic symptom in context to the spinal cord injury. Indeed, the clinical decision-making considers the symptoms of pain, edema and extremity weakness in evaluating the underlying etiology in context to the spinal morbidities.

The evidence based clinical practices contend the significance of physical examination of spinal cord to rule out defects in the sensorimotor pathways following the traumatic conditions pertaining to spinal cord. However, the pre-existing pathological conditions of spinal cord including carcinomatous comorbidities and bony tuberculosis further complicate patient’s clinical condition, thereby warranting surgical intervention for treating these complicated spinal manifestations. The biochemical implications of the spinal cord injuries related to axonal disruption, ionic misalignment and membrane damage leading to the symptoms of intense pain and inflammation at the site of injury.

However, the treatment modalities acquired in controlling the clinical manifestations of spinal cord trauma pertain to the medical intervention approaches including spine immobilization, respiratory facilitation, shock therapy, steroids administration, rehabilitation and surgical management. Indeed, the clinical trials across the globe are underway to explore cost effective and safe potential treatment strategies in curing the spinal morbidities emanating from the trauma of spinal cord.