Answers |Latest Update 2025 – 2026| Already Graded A+
1. Central Cord
Syn- drome dispro- portionately greater loss of motor strength in the upper extremities
than in the lower extremities, with varying degrees of sensory loss. This
syndrome typically occurs after a hyperextension injury in a patient with
preexisting cervical canal stenosis. The mechanism is commonly that of
a forward fall resulting in a facial impact. Central cord syndrome can
2. Anterior occur with or without cervical spine fracture or dislocation. The prognosis for
cord recovery in central cord injuries is somewhat better than with other
syndrome incom- plete injuries.
characterized by paraplegia and a bilateral loss of pain and temperature
3. Brown- sensation. However, sensation from the intact dorsal column (i.e.,
Sequard position, vibration, and deep pressure sense) is preserved. This
Syndrome
syndrome has the poorest prognosis of the incomplete injuries and
occurs most commonly following cord ischemia.
results from hemisection of the cord, usually due to a penetrating
trauma. In its pure form, the syndrome consists of ipsilateral motor loss
(corticospinal tract) and loss of position sense (dorsal column),
associated with contralateral loss of pain and temperature sensation
beginning one to two levels below the level of injury (spino-thalamic
tract). Even when the syndrome is caused by a direct penetrating injury
to the cord, some recovery is usually achieved.
4. Particularly during the initial treatment, all patients with radiographic
evidence of injury and all those with neurological deficits should be
considered to have an unstable spinal injury.
5. Atlas (C1)
Frac- ture Fractures of the atlas represent approximately 5% of acute cervical spine
fractures, and up to 40% of atlas fractures are associated with fractures
of the axis (C2). The most common C1 fracture is a burst fracture
(Jetterson fracture).
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Answers |Latest Update 2025 – 2026| Already Graded A+
Usually from axial
loading. iated with final cord injury Should be
N treated as unstable
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