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Surfer's myelopathy is a rare, nontraumatic spinal cord injury caused by hyperextension of the back and resulting in paraplegia (paralysis below the waist). [1] During hyperextension, a blood vessel leading to the spine, such as the anterior spinal artery, [2] can become kinked, depriving the spinal cord of oxygen. [3]
An estimated 24–45% of people with spinal cord injuries have major depressive disorder, and the suicide rate is as much as six times that of the rest of the population. [66] The risk of suicide is worst in the first five years after injury. [67] In young people with SCI, suicide is the leading cause of death. [68]
Autonomic dysreflexia (AD) is a potentially fatal medical emergency classically characterized by uncontrolled hypertension and cardiac arrhythmia. [2] [3] [4] AD occurs most often in individuals with spinal cord injuries with lesions at or above the T6 spinal cord level, although it has been reported in patients with lesions as low as T10. [5]
The most common mechanism of injury is high-speed motor vehicle accidents. The injury is more likely in children due to the large size of their heads relative to their bodies, and more horizontal orientation of the occipital condyles. It represents <1% of all cervical spine injuries. [1] Several subtypes of atlanto-occipital dislocation are known.
About 90% of patients who are single when injured are still single five years after the injury. There is a high incidence of divorce and separation after an injury, though this decreases beyond the first year after injury. [67] Many catastrophic spinal cord injury patients improve their education. Immediately after injury, the average level of ...
Central cord syndrome (CCS) is the most common form of cervical spinal cord injury (SCI). It is characterized by loss of power and sensation in arms and hands. It usually results from trauma which causes damage to the neck, leading to major injury to the central corticospinal tract of the spinal cord. [1]
Most types of spinal fracture confer a significant risk of spinal cord injury. After the immediate trauma, there is a risk of spinal cord injury (or worsening of an already injured spine) if the fracture is unstable, that is, likely to change alignment without internal or external fixation. [1]
This is a shortened version of the seventeenth chapter of the ICD-9: Diseases of the Digestive System. It covers ICD codes 800 to 999. The full chapter can be found on pages 473 to 546 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.