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Spine
intermediate
X-Type

Spinal Cord Injury Classification

Spine Trauma

A 28-year-old man is brought to the trauma bay after a diving accident. He has flaccid paralysis of all four limbs with absent reflexes and hypotension (85/50 mmHg) with bradycardia. After stabilization, examination reveals no motor function below C5, no sensation below C5, and no sacral sparing (no perianal sensation, no voluntary anal contraction, no deep anal pressure). Regarding spinal cord injury classification:

Mark each as TRUE or FALSE

A

The ASIA (American Spinal Injury Association) Impairment Scale grades spinal cord injury: A (complet...

B

The neurological level is the most caudal level with intact motor (grade 3 or more) and sensory func...

C

ASIA A indicates the best function; sacral sparing is not important for classification; spinal shock...

D

Incomplete cord syndromes have specific patterns: central cord (upper more than lower extremity weak...

E

Neurogenic shock (distinct from spinal shock) occurs with injuries above T6 and causes hypotension w...

Answer the questions to see explanations

Click T (True) or F (False) for each option