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NEUROLOGY

NEUROLOGY. Dr.Shamekh M. El-Shamy. Spinal Cord Injuries. Spinal Cord. The etiology of SCIs :

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NEUROLOGY

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  1. NEUROLOGY Dr.Shamekh M. El-Shamy

  2. Spinal Cord Injuries

  3. Spinal Cord

  4. The etiology of SCIs : More recent statistics suggest that motor vehicle accidents (40.9%), followed by falls (22.4%), acts of violence (21.6%), and sports-related injuries (7.5%), are now the most common causes of SCIs in the United States

  5. Key Muscles That Can Provide Greatest Functional Improvements Level Key Muscles . C5 Elbow flexors . C6 Wrist extensors . C7 Elbow extensors . C8 Finger flexors . T1 Finger abductors . L2 Hip flexors . L3 Knee extensors . L4 Ankle dorsiflexors . L5 Big toe extensors . S1 Ankle plantar flexors

  6. I-Cervical Flexion and Rotation Injuries

  7. I- Cervical Flexion – Rotation Injury

  8. II- Cervical Hyperflexion Injuries

  9. II- Hyperflexion Injury III- Hyperextension Injury IV- Compression Injury

  10. III- Cervical Hyperextension Injuries

  11. IV- Compression Injuries

  12. Types of Lesions 1- Complete Injuries

  13. 2- Incomplete Injuries

  14. Special Injury Types

  15. Special Injury Types (Cont.)

  16. Clinical Manifestations

  17. Complications

  18. Cervical Spine (C1-C4)

  19. Cervical Spine (C5-C8)

  20. Thoracic Spine (T1-T9) • Full paralysis of lower body and legs • Limited upper body movement • Full use of arms • Capable of using a manual wheelchair for extended time • No personal care needed

  21. Thoracic Spine (T10-S5)

  22. Compression Fractures catalog.nucleusinc.com

  23. Cauda Equina

  24. Pathological Changes

  25. Medical Intervension

  26. Orthosis A- Halo vest B- Sternal-occipital mandibular immobilization D- Custom-made body jacket C- Philadelphia collar

  27. Flex Foam Orthosis • Cash Hyperextension • Orthosis • Sagital hyperextension • Freedom in coronal and • transverse planes • More cosmetic, light weight • Soft, flexible interior • Bony prominence relief • Rigid external, adjustable, detachable frame • Sterno-Occipital Mandibular • Immobilization (SOMI) • Maximizes cervical stability Orthoses

  28. L1 Orthoses BI-valve Orthosis • Corset Front • Rigid posterior to reduce abdominal pressure • Maximizes adjustability • Stabilizes pelvis • Anterior Overlap • Simple, adjustable

  29. THANK YOU

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