Diagnosis and Treatment of Thoracic Spinal Cord Injury By Wise Young, Ph.D., M.D. W. M. Keck Center for Collaborative Neuroscience Rutgers University, Piscataway, New Jersey http:sciwire.com, last updated 23 July 2005 Many people have been asking for an article about diagnosis and treatment of thoracic spinal cord injury. The following is a short description of upper and mid-thoracic spinal cord injury, emphasizing the anatomy, the neurology, treatment, recovery, and long-term changes, and hope for recovery and therapies. Anatomy The thoracic spinal cord is situated in the T1-T9 thoracic spinal canal. The thoracic vertebral segments form the chest wall and have ribs. The thoracic segments are the best protected of all the vertebral segments because of the ribs. It takes enormous forces to fracture the thoracic spinal vertebral bodies. Traumatic injuries of the upper thoracic spinal cord are relatively rare, accounting for only 10-15% of spinal cord injuries (compared to 40% due to cervical, 35% due to thoracolumbar injuries, and 5% due to lumbosacral injuries). Thoracic spinal cord injuries occur as a result of high-speed motor vehicular accidents, tumors that have compressed the spinal cord, and ischemic injuries of the spinal cord. When traumatic injuries of the thoracic spinal cord occur, … Continue reading
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