What is spinal cord cauda equina involved?
summary
Spinal cord, cauda equina or nerve root involvement is one of the symptoms of spinal cord injury. With the increasing number of patients with spinal injury, the mechanism of spinal injury is different, and the classification is also different, so the diagnosis is also difficult. But in fact, as long as we can grasp the local pathological and anatomical characteristics, on the premise of comprehensive collection of trauma history, symptoms and signs, and comprehensive analysis and judgment, it is not difficult to obtain the correct diagnosis for most cases. On this basis, the treatment problem is easy to solve. For those who are difficult in clinical diagnosis, CT, MRI, CT plus myelography, CTM and other imaging methods can be used.
What is spinal cord cauda equina involved?
The results are as follows: 1. Fracture and dislocation of the spine can occur at any vertebra segment, but 60% - 70% of the cases occur at the thoracic 10 to lumbar 2 segment. Among them, the thoracic 12 to lumbar 1 segment is more common, accounting for about 80%; Cervical vertebrae 4-6 and cervical vertebrae 1-2 were the secondary frequent areas, accounting for about 20% - 25%; Other cases were scattered in other vertebral segments
2. The incidence of spinal cord injury is about 17%. The incidence of spinal cord injury in spinal fracture and dislocation is the highest in the cervical segment, followed by the thoracic and lumbar segments. Neck 1-2 and occipitocervical injuries are easy to cause death, and most of them occur at the scene of injury, Of course, the incidence of fracture with dislocation combined with spinal cord injury is higher. Clinically, the so-called "lucky spinal fracture" with severe spinal cord injury but no obvious symptoms of spinal cord injury can also be encountered, which is mainly due to the wider spinal canal
The most common site of spinal injury is spinal fracture and dislocation, which can occur at any vertebral segment, but 60% - 70% of the cases are located at the thoracic 10 to lumbar 2 segment. Among them, the high incidence was in the thoracic 12 to lumbar 1 segment, accounting for about 80%; Cervical vertebrae 4-6 and cervical vertebrae 1-2 were the secondary frequent areas, accounting for about 20% - 25%; Other cases were scattered in other vertebral segments.
matters needing attention
Attention should be paid not to overwork, to prevent spinal injury, spinal injury, increasing number of patients, depending on the mechanism of damage, classification is not the same, so there is a certain difficulty in the diagnosis. But in fact, as long as we can grasp the local pathological and anatomical characteristics, on the premise of comprehensive collection of trauma history, symptoms and signs, and comprehensive analysis and judgment, it is not difficult to obtain the correct diagnosis for most cases. On this basis, the treatment problem is easy to solve.