Road accidents frequently cause spinal cord injuries (SCIs), which can have severe, long-term effects. An SCI involves damage to the spinal cord, often from fractures, dislocations, or herniated discs, resulting in impaired motor function, sensation, and autonomic function below the injury. Specialty care clinics (SCCs) offer comprehensive care for SCI patients, from the initial injury to long-term recovery.
Understanding Spinal Cord Injuries
In a road accident, the spinal cord can be damaged by:
- Vertebral Fractures
- Dislocations
- Herniated Discs
- Direct Cord Damage
SCIs vary in severity. A “complete” injury results in a total loss of function below the injury, while an “incomplete” injury means some function remains. The location of the injury on the spinal cord determines the extent of impairment.
Treatment in Specialty Care Clinics
SCCs use a multidisciplinary approach to manage SCIs:
- Immediate Management: Emergency personnel immobilize the spine. Hospitals stabilize the patient, decompress the spinal cord (if necessary), and provide supportive care.
- SCC Treatment: SCCs involve specialists such as neurosurgeons, neurologists, physiatrists, and therapists. They provide:
- Surgery
- Physical and occupational therapy
- Assistive technology
- Pain management
- Bowel and bladder management
- Spasticity management
- Rehabilitation programs
- Long-Term Management: SCCs offer ongoing care, monitor for complications, provide lifestyle management guidance, vocational rehabilitation, and psychological support.
SCCs also promote advancements in SCI treatment through research and innovation, including neuroprotective strategies, regenerative medicine, and functional electrical stimulation.