SPINAL CORD INJURY-TYPES

SUMMARY

1. SCI can be classified as neurologically complete or incomplete structural integrity of the white matter long tracts.

2. Classification is dependent on sacral sparing: evaluated by testing voluntary anal sphincter contraction & sensory function (light touch & pinprick at the S4-S5 dermatomes, deep anal pressure).

3. The presence of sacral sparing represents at least partial structural continuity of the white matter long tracts: better prognosis for motor and sensory return below NLI.

4. Complete injury: no sacral sparing.

5. Incomplete injury: presence of sacral sparing indicates at least partial preservation of sensory and/or motor function at the lowest sacral segments.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.