Tetraplegia And The Need For Ventilatory Assistance
Tetraplegia is the loss of voluntary movement and sensation in all four extremities, and usually results from a cervical Spinal Cord Injury (SCI). Other conditions, such as a brain stem lesion or spinal meningitis, may also result in Tetraplegia which is also known as Quadriplegia.
An SCI can be complete or incomplete. The term incomplete indicates that the patient has some sensory or motor function below the injury level. There are seven cervical vertebrae and eight cervical nerves, identified as C1 through C8. The level of injury directly correlates to the patients abilities and needs.
• Patients with an injury or disease at C1, C2, and higher may have little or no movement of their head and neck, and may be entirely dependent on ventilatory assistance for breathing.
Spinal Cord Injury― 1. ―
• Patients with an injury at C3 usually have control of their head and neck and are occasionally weaned from ventilatory assistance.
Spinal Cord Injury― 2. ―
• Patients with an injury at C4 usually have control of their head and neck, some shoulder movement and are often weaned from ventilatory assistance.
Spinal Cord Injury― 3. ―
• Patients with injuries at C5 and lower have control of their head and neck, progressively more control of their arms and hands and are rarely in need of ventilatory assistance.
Spinal Cord Injury― 4. ―
• Patients with injuries below the cervical spine have full function in the upper extremities, which is classified as paraplegia. Paraplegics do not lose control of respiratory drive.
Spinal Cord Injury― 5. ―
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