The Care and Management of Spinal Cord Injuries

1 Prevention of Spinal Paralysis: Emergency Management.- Preventive Measures.- Emergency Management and First Aid.- 2 Examination.- The Medical History.- Examination of the Spinal Patient.- Radiologic Examination.- Classification of Injuries.- Associated Injuries.- Repetition of Examination.- 3 Diagnosis.- Terminology.- Diagnosis of Spinal Cord Dysfunction.- Prognosis.- Records.- Additional Responsibilities.- 4 Nontraumatic Causes of Spinal Paralysis.- Clinicopathologic Findings.- Diagnosis.- Mechanical Causes.- Nonmechanical Causes.- Paraplegia Due to Secondary Carcinoma.- Paralysis Caused by Spinal Deformity.- Spinal Deformity Caused by Paralysis.- 5 Early Management of Spinal Injuries.- General Treatment.- Nonoperative Management of the Bony Lesion.- Surgical Management of Spinal Injuries.- 6 Surgical Procedures for Associated Injuries.- Acute Traumatic Spinal Paralysis.- Long-term Spinal Paralysis.- Other Surgical Complications.- 7 Rehabilitation.- Medical Rehabilitation.- Social Rehabilitation.- Vocational Rehabilitation.- Educational Rehabilitation.- 8 Nursing Management.- Administration.- Early Management.- Respiratory Impairment.- The Neurogenic Bladder.- Care of the Skin—Prevention of Pressure Sores.- Bowel Management.- Nursing Care of Contractures and Spasm.- Nursing Management of an Ileal Conduit.- Fluid Balance and Dietetic Care.- Fundamentals in Prevention of Complications.- 9 Medical Management.- Management of the Bladder.- Gastrointestinal Management.- Respiratory and Acid-Base Physiology: Disorders and Management.- Rehabilitation of the Hand.- Alterations in Sexual Function.- 10 Physical and Occupational Therapy.- Physical Therapy.- Occupational Therapy.- 11 Orthotics.- Upper Limb Orthoses or Orthotics.- Lower Extremity Braces.- Crutches.- Corsets,Spinal Braces, and Other Appliances.- 12 Follow-up Service.- Aims of Total Patient Care.- Follow-up of Physical Condition.- Other areas of Follow-up.- 13 General Medical Care of Spinal Paralytic Patients.- Venous Thrombosis.- Respiratory Dysfunction.- Coronary Heart Disease.- Obesity.- 14 Decubitus Ulcers (Pressure Sores).- Pathology.- Acute Decubitus Ulcer.- Chronic Decubitis Ulcers.- Early Preventive Care and Early Conservative Management.- Presurgical Preparation.- Surgical Technique.- 15 Contractures and Spasm.- Contractures.- Spasm.- 16 Pain and Phantom Sensation.- Classification of Pain in Cord Injury.- Pain Management.- 17 Pott’s Paraplegia.- Pathology.- Classification.- Prognosis.- Symptoms and Signs.- Diagnosis.- Treatment.- Other Methods of Treatment.- 18 Traumatic Paraplegia in Children.- Incidence and Causes of Injury.- Clinical Presentation.- Pathology.- Spinal Deformities.- Urinary Management.- Treatment.- Unique Features of Emphasis in the Rehabilitation of Children.- 19 Care of Children with Spina Bifida.- Incidence.- Pathology.- Early Treatment.- Assessment.- Management.- Long-term Care.- 20 Physiologic Studies.- Spinal Cord.- Spinal Reflexes.- Spinal Motoneurons.- Chemical Transmission in the Spinal Cord.- Spinal Man.- Practical Significance of Spinal Shock.- 21 Pathologic Considerations of Spinal Paralysis.- General Principles of Pathologic Reactions.- Classification of Spinal Cord Disorders.- 22 Recent Research in Spinal Cord Injuries.- Review of Recent Findings.- Dysfunction of the Autonomic Nervous System.- Adrenal Cortical Function in the Tetraplegic Patient.- Experimental Methods of Emptying the Neurogenic Bladder with Electric Stimulation.- Biomedical Engineering.- Orthotic Systems for the Paralyzed.- 23 Design, Organization, and Staffing ofa Spinal Paralysis Unit.- Staff.- Staffing Structure.- Design of a Spinal Unit: Underlying Rationale.- Extrahospital Service.- 24 Home Nursing Care and Volunteer Organizations.- Home Nursing Care.- Voluntary Organizations.- 25 Paraplegia in Developing Countries.- Causation and Specific Treatment of Spinal Paralysis in Developing Countries.- General Management and Rehabilitation of Paraplegic Patients in Developing Countries.- Future Goals.- 26 The Future.- Index 343.