Spinal cord injury

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Classification according to ICD-10
S14 Injury to the nerves and spinal cord at neck level
S24 Injury to the nerves and spinal cord at thorax level
S34 Injury to the nerves and the lumbar spinal cord at the level of the abdomen, the lumbosacral region and the pelvis
ICD-10 online (WHO version 2019)

Spinal cord injuries are classified into three stages based on the extent of damage to the spinal cord . Special forms are the cone-cauda syndrome and the Brown-Séquard syndrome .

Degrees of severity

Spinal commotio

The commotio spinalis , also called spinal cord vibration, is the simplest injury to the spinal cord. It often occurs with short-term indirect violence on the spine and spinal canal. Fleeting neurological irritation or failure symptoms occur, which last a maximum of 48 hours. The disorder is completely reversible. An injury to the spinal cord cannot be detected either pathologically or radiologically. see also SCIWORA syndrome

Contusio spinalis

The contusio spinalis , also called spinal cord contusion , is the second most severe injury to the spinal cord. It leads to immediate neurological deficits, which can sometimes be delayed. It is a partly irreversible, traumatic process. The pathological correlate are edema and axonal damage.

Compressio spinalis

The compressio spinalis , also called spinal cord contusion, is the most serious injury to the spinal cord. It often occurs with unstable vertebral body fractures but also with (traumatic) herniated discs . This type of disorder is largely irreversible, as the structures of the spinal cord are destroyed.

See also

Paraplegia , whiplash

literature

Web links