spinal cord injury

Tendon Transfer

Epidemiology

 

Nearly 2/3 cervical level injury survivors have C6 root level function

- biceps and wrist extension function

 

Requirements

 

1. Transfer / Triceps

 

2. Object manipulation

- grip 

- key grip / self catheterisation 

 

Timing

 

Consider > 18/12

 

Allows

- serial evaluation

Spinal Cord Injury

Definition

 

Complete Lesion 

- bulbocavernosus reflex present 

- no cord function below lesion

- very poor prognosis for recovery

 

Incomplete Lesion

- bulbocavernosus reflex present

- some cord function below lesion

- good prognosis for recovery

 

Anatomy

 

Vertebral Canal narrowest at T8/9

- Also area of vascular watershed

 

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