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Cervical spine injury: rehabilitation is slow and depends on the type of trauma

Cervical spine injury: rehabilitation is slow and depends on the type of trauma

Traumatic injuries of the cervical spine can lead to various neurological problems. A recent case of spinal injury was former gymnast Lais Souza, who suffered an accident during her training for the winter games. The neurological complications resulting from the trauma depend on several factors: mechanism of injury, extent and level of injury in the cervical spine. The worst consequences would be quadriplegia, that is, paralysis of the voluntary motricity of arms and legs, as well as inability to breathe on its own.

This changes according to the vertebra that has been injured, since the higher the lesion, the worse . In other words, complete lesions in the first cervical vertebrae are worse than the last.

More important than treatment would be prevention

A vertebra can suffer from several types of traumatic injuries. The most common is its fracture, with or without crushing, but the worst is transfixation of the cervical medullary by the dislocated (dislocated) vertebra. This dislocation (horizontal displacement of the vertebra) may be total or partial.

The rehabilitation process is slow and depends heavily on the type of injury, age, and comorbidities of the patient. The main objective of rehabilitation, after a severe cervical spine injury, is to try to recover as much of the neurological functions as necessary for a routine of activities of daily living, with the least possible degree of dependence.

Recovery consists of prevention and correction of spasticity, stretching and improvement of mobility, prevention of decubitus ulcers, diet and hydration care, and ventilatory support or not. In general, it is expected that this will be done with a multidisciplinary team, in its own environment, with all infrastructure that involves swimming pools, bodybuilding equipment, walking laboratory, orthoses / prostheses service, among other tools that will be fundamental in rehabilitation assistance.

Finally, more important than treatment would be prevention. So, all the care is not enough and we must be alert to routine situations, such as jumping headfirst into swimming pools, driving without a seatbelt, riding a motorcycle without a helmet, practicing sports with a higher risk of falling without a qualified professional nearby. without the necessary material and safety. Although it is known that there are accidents that occur regardless of our care, preventive attitudes will always minimize these risks.


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