Can a spinal cord injury be recovered? What to do after a spinal cord injury?

If it is a complete spinal cord injury, it cannot be recovered, then if it is an incomplete spinal cord injury, if he can get early and standardized and timely surgery and comprehensive standardization, it can be recovered. But the vast majority of spinal cord injury patients are not so lucky, he may have a particularly serious injury or his part is relatively high, or he does not get the most timely and comprehensive ****, he may have an impact, resulting in lifelong disability, affecting the spinal cord injury patient The core problem of his prognosis is the degree of his injury, which is the most critical.

1. Epilepsy, a brain nervous system disease, is a relatively common sequelae for patients with craniocerebral injury. The occurrence of craniocerebral injury is likely to damage the patient's nervous system, resulting in abnormal electrical discharge of neurons in the patient's brain due to neurological dysfunction, which promotes the formation of epilepsy. 2. Aphasia is also one of the common sequelae of head injury, the occurrence of aphasia is mainly caused by the damage of the patient's cerebral cortex language center, which is caused by the damage of the head injury, resulting in the loss of the patient's language expression ability and language comprehension ability, but there may be some differences in the form of language impairment manifested by different patients.

3. Brain injury will also cause the sequelae of amnesia syndrome, the main feature of which is the fiction based on forgetting, and patients are often prone to emotional difficulties in control. 13. Loss of cognitive function is also a sequelae caused by head injury. Although the sequelae are relatively common, the loss of cognitive function can greatly affect the normal life of the patient, resulting in a serious decline in the ability to live a normal social life.

Spinal cord injury should be urgent after injury**, and the correctness of early treatment measures directly affects the patient's life safety and the recovery of spinal cord function, and non-surgical ** and surgical ** can generally be selected.

1. General**.

The correctness of early treatment measures directly affects the patient's life safety and the recovery of spinal cord function.

Spinal cord injuries are generally huge traffic accidents or high fall injuries, most of the injured are confused or unable to move, and the ABC rescue principle should be followed, that is, to maintain the patency of the respiratory tract, restore ventilation, and maintain stable blood circulation.

2. Drugs**.

1. Methylprednisolone: For those who are injured within 8 hours, methylprednisolone impact is an optional means.

Its mechanism of action is that high-dose methylprednisolone can prevent the peroxidation reaction of lipid compounds and stabilize the cell membrane, thereby reducing the degeneration of nerve cells after trauma, reducing tissue edema, improving spinal cord blood flow, preventing further aggravation of spinal cord ischemia after injury, promoting metabolism and preventing neurofiber degeneration.

2. Scopolamine: By adjusting microcirculation, improving the microcirculation disorders caused by capillary rupture, bleeding and blockage after spinal cord injury, reducing spinal cord ischemia and necrosis, and is conducive to the recovery of spinal cord function, the sooner it is used, the better. It should be used on the day after injury.

Spinal cord injury refers to the damage to the structure and function of the spinal cord caused by various reasons, resulting in motor, sensory, and autonomic dysfunction below the level of injury.

Spinal cord injuries should be treated in a hospital for a differential diagnosis by a specialist**, which usually includes non-surgical** and surgical**.

1. Non-surgical**:

Methylprednisolone sodium succinate for injection, tetrahexose ganglioside sodium monosialate injection, and murine nerve growth factor for injection can usually be used according to the doctor's instructions.

High-dose methylprednisolone can prevent the peroxidation reaction of lipid compounds, and also stabilize the cell membrane, thereby reducing the degeneration of nerve cells after trauma, reducing the accumulation of intracellular calcium ions, preventing the role of lipid compounds and the formation of prostagland E2 and prothrombin A2, reducing the release of excitatory amino acids, reducing tissue edema, improving spinal cord blood flow, preventing further aggravation of spinal cord ischemia after injury, promoting metabolism and preventing neurofiber degeneration.

The monosialic tetrasaccharide ganglioside ester plays an important role in maintaining the normal function and stability of nerve cell membranes, activates the activity of ATase and phosphorylase, improves the survival rate of nerve cells under hypoxia, and reduces the damage to nerve cells caused by nitric oxide synthesis.

2. Surgery**

The purpose of surgery is to protect the remaining surviving spinal cord tissue, reduce or prevent secondary injury, and promote the recovery of spinal cord function as much as possible.

There are three types of spinal cord injuries and are managed as follows;

1. Spinal cord shock:

That is, the spinal cord is injured, and the spinal cord below the level of injury is temporarily in a state of shock, and the sensory, motor, and sphincter functions are lost, and when the spinal cord shock is mild, it can recover on its own;

2. Spinal cord compression: due to trauma resulting in vertebral body and hematoma, compression of the spinal cord, resulting in spinal cord ischemia and edema;

3. Spinal cord injury: because of the spinal cord function problems caused by compression, spinal cord compression requires surgical decompression to restore the original space, and at the same time can stabilize the spine and carry out early exercise.

Drugs for spinal cord injury, such as gangliosides, nerve growth factor, combined with cryogenic hormones, etc., are used clinically**. Newer stem cells can also be used for spinal cord injury**, but the degree of recovery from spinal cord injury is directly related to the primary injury to the spinal cord.

After a spinal cord injury, take the following steps:

1. If it is a burst fracture with vertebral body, which has obvious squeezing of the spinal cord, it is necessary to perform surgery immediately to reduce the position of the vertebral fracture and fix the cervical vertebrae through the nail rod system, which can maintain the stability of the spine and avoid the continuous compression of the spinal cord. If a spinal cord injury occurs at a relatively high position, it is necessary to prevent abnormal cardiopulmonary function, prepare items such as defibrillators, ventilators, and endotracheal intubation, and rescue if necessary**.

2. Due to whiplash, the spinal cord has local injury and edema of the spinal cord. Intravenous infusion of mannitol, as well as dexamethasone and other dehydrating, anti-inflammatory drugs, can also be a large dose of hormones**, and intravenous infusion of drugs to nourish nerves, such as growth factors, monosialic tetrahexose ganglioside sodium injection, methylcobalamin injection, adenosylcobalamin injection, can promote the recovery of nerve function.

3. Cervical brace fixation is carried out to fix the position of the cervical spine and avoid the aggravation of injury.

4. With acupuncture**, it can effectively promote nerve recovery, but if the injury is too severe, especially if there is relatively large fracture fragment compression ischemia, it is easy to lead to paralysis of the lower limbs.