Chapter 166. Spinal Injury

  1. Robert P. Lisak MD, FAAN, FRCP Parker Webber Chair Professor Chair Neurologist-in-Chief Chief2,3,
  2. Daniel D. Truong MD, FAAN Head4,
  3. William M. Carroll MBBS, MD, FRACP, FRCP(E) Head5 and
  4. Roongroj Bhidayasiri MD, FRCP Director6,7
  1. Enver I. Bogdanov MD Head

Published Online: 18 MAY 2010

DOI: 10.1002/9781444317008.ch166

International Neurology: A Clinical Approach

International Neurology: A Clinical Approach

How to Cite

Bogdanov, E. I. (2009) Spinal Injury, in International Neurology: A Clinical Approach (eds R. P. Lisak, D. D. Truong, W. M. Carroll and R. Bhidayasiri), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444317008.ch166

Editor Information

  1. 2

    Wayne State University School of Medicine, Detroit, MI, USA

  2. 3

    Detroit Medical Center, Harper University Hospital, Detroit, MI, USA

  3. 4

    The Parkinson and Movement Disorder Institute, Memorial Neuroscience Institute, Orange Coast Memorial Medical Center, Fountain Valley, CA, USA

  4. 5

    Sir Charles Gairdner Hospital, Nedlands, Perth, Australia

  5. 6

    Chulalongkorn Comprehensive Movement Disorders Center, Chulalongkorn University Hospital, Bangkok, Thailand

  6. 7

    University of California at Los Angeles, School of Medicine, Los Angeles, CA, USA

Author Information

  1. Neurology and Rehabilitation Department, Kazan State Medical University, Kazan, Russia

Publication History

  1. Published Online: 18 MAY 2010
  2. Published Print: 11 SEP 2009

ISBN Information

Print ISBN: 9781405157384

Online ISBN: 9781444317008



  • spinal cord injury (SCI), varying considerably from country to country;
  • SCI, frequent in young adults and associated with vertebral fracture;
  • mechanisms of SCI - broadly subclassified into five types, dislocation, lateral bending, axial loading, rotation, and hyperflexion/hyperextension;
  • incomplete injuries, classified into four types - anterior spinal syndrome, central cord syndrome (CCS), Brown–Séquard syndrome and mixed types;
  • trauma patient, who is alert, oriented, neither sedated nor distracted - structural injury close to zero;
  • trauma patients with SCI, managed by immobilization to attain anatomical alignment


This chapter contains sections titled:

  • Epidemiology

  • Pathophysiology and clinical features

  • Investigations

  • Treatment

  • Further reading