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Academia Mexicana de Neurología, A.C.

2017, Number 5

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Rev Mex Neuroci 2017; 18 (5)

Pathophysiology of spinal trauma

Padilla-Zambrano H, Ramos-Villegas Y, Alvis-Miranda HR, Joaquin AF, Moscote-Salazar LR

Language: Spanish
References: 22
Page: 45-53
PDF size: 225.24 Kb.


ABSTRACT

Spinal trauma (TRM) includes traumatic lesions characterized by fractures of the spine and may also have deficits in motor and / or sensory functions due to complete or partial involvement of the spinal cord. Pathophysiologically, it occurs by two mechanisms: primary spinal cord injury and secondary spinal cord injury. The first involves the initial mechanical injury due to local deformation and energy transformation, while the second involves a cascade of biochemical and cellular processes. The evolution of these processes has been divided into 5 phases: Immediate, Acute, Subacute, Intermediate and Chronic; The study of these phases is important because it allows the selection of interventions that may possibly improve the patient’s neurological prognosis.


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