Often a spinal cord injury (SCI) is caused by a blow to the spine, resulting
in broken or dislocated bones of the spine (vertebrae.) The vertebrae bruise or
tear the spinal cord, damaging nerve cells.
When the nerve cells are damaged, messages cannot travel back and forth
between the brain and the rest of the body. This causes a complete or partial
loss of movement (paralysis) and feeling.
Sometimes the spinal cord is damaged by infection, bleeding into the space
around the spinal cord,spinal stenosis, or a birth defect, such as spina
bifida.
At the hospital
A person with a potential SCI is taken to an emergency department and then to
an intensive care unit. The first priority is stabilizing bloodpressure and lung
function, as well as the spine, to prevent further damage. When a spinal cord
injury is caused by a serious accident, treatment for other injuries is often
needed.
The following tests may be done right away to help find out the extent of the
injury. They may also be done routinely throughout and after you leave
rehabilitation (rehab).
An ultrasound of the kidneys checks your bladder function. This is done every
1 to 2 years.
A spinal X-ray monitors your spine's condition. Your doctor lets you know how
often this is done—usually monthly for the first 3 to 6 months.
Computed tomography scan (CT scan) and magnetic resonance imaging (MRI),
which provide detailed pictures of the spine, are done as needed.
A bone density test measures the minerals (such as calcium) in your bones
using a special X-ray, a CT scan, or ultrasound.
A few days after the injury, your doctor will ask you questions. Also, he or
she will test not only the strength of key muscles but also your response to
light touch and pinpricks all over your body.
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