Spinal Orthotic Case Study

Introduction
The road to recovery for a patient with spinal stack injury (SCI) is a difficult one. Depending on the location and bitterness of the SCI, an individuals life may be drastically altered. In some cases, full recovery is not accomplishable and a degree of neurological function is lost. It is the goal of the orthotist(s) to run the patient with orthotic intervention that will promote healing, reduce injury, and/or increase the individuals quality of life.

Case Presentation
A 27-year-old male involved in a motor vehicle accident has sustained an unsteady C7 anterior burst rive and a C7 incomplete spinal cord injury resulting in C7 ASIA B tetraplegia. Individuals categorized as ASIA B preserve arresting function but lose motor function beneath the neurological direct injured and includes sacral segments S4 and S5. Spinal muscular contraction fractures propagate along the anterior column of the spine, and tend to be stable injuries. When the fracture propagates in more than one column, it is called a burst fracture. According to Duke Orthopaedics, burst fractures are the result of compressive trial of the anterior and posterior vertebral body and failure of the anterior and middle columns.



The intravertebral disc experiences increased nuclear pressure and hoop, or circumferential, stresses are applied to the annulus as a result of axial load. High shear stresses are applied to the vertebral end plate at the interior border of the annulus. cervical burst fractures are most common at the level of C5-C6 and lower cervical burst fractures are frequently unstable. An unstable burst fracture is most notably accompanied by a neurological deficit1.
The patient has undergone operative decompression and fusion with instrumentation. A post op evaluation revealed that the patient is capable of scapular elevation and depression, shoulder flexion and extension, some shoulder abduction and level adduction, and wrist extension. He does not have active...If you want to notice a full essay, order it on our website: Ordercustompaper.com



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