How does spinal cord injury return a responsibility?

summary

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. How does spinal cord injury return a responsibility? Let's talk about it

How does spinal cord injury return a responsibility?

The incidence of spinal cord injury (SCI) in spinal fracture and dislocation is about 17%. The incidence of SCI 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. From the Perspective of the mode of action of violence, the proportion of direct violence is the highest, especially the firearm penetrating injury, It's almost 100 percent

The second is hyperextension injury. According to the type of fracture, burst fracture of vertebral body is more common. Of course, the incidence of fracture with dislocation combined with spinal cord injury is higher. In clinic, the so-called "lucky type 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.

Compression of spinal cord: the reason why the bone fragment behind the compressed broken vertebral body or the bone fragment of burst fracture is not easy to move forward is that the anterior longitudinal ligament is strong and affected by the flexion position, and the posterior part happens to be the spinal canal with low pressure, so that the bone fragment of vertebral body is easy to protrude into the spinal canal and become a common compression material in front of spinal cord, It is the basis of pathoanatomy that hinders the further recovery of spinal cord function.

matters needing attention

The focus of prevention is iatrogenic or rescue injury formed in the process of medical rescue, especially for non-medical professionals. It is strictly forbidden to avoid the wrong injury of one person lifting his head and one person lifting his leg. This lifting method is an important cause of spinal cord injury. The patient should be lifted onto the board by three balanced rolling.