Typically, SCI necessitates a dramatic readjustment in lifestyle. From having been free to engage in all activities associated with normal living, post injury even simple routine tasks now become a challenge. In addition to more or less extensive paralysis and sensory deficits below the level of lesion, patients often experience significant impairments involving urination, bowel movements, and sexual function.
These deficits, often combined with problems such as pain, spasticity, and pressure ulcers, become a heavy burden for both the individual with the SCI and for family and friends. Preventive measures and treatment of problems resulting from the injury therefore comprise a natural theme for this book.
Definitive treatment - one that can restore neurologic deficits and return the patient to the same level of function that existed prior to the accident - does not yet exist. However, knowledge about the acute mechanisms of injury, emergent treatment at the scene of the accident and in the hospital, and long-term rehabilitation has increased significantly over the past few decades. This is also reflected in encouraging advances in injury prevention, a decrease in acute mortality, an increase in the number of incomplete (partial) versus complete injuries, and improvements in both prevention and treatment of secondary and tertiary complications, as well as more successful rehabilitation to an active lifestyle. Now it has become fully realistic for a person with a SCI to achieve a high degree of autonomy, have a family and a job, drive a car, actively pursue leisure activities, and enjoy a good quality of life for many decades after the time of the injury.
The purpose of this book is to present an overview of the fields of knowledge that are of central importance to the care of patients with SCI. This interdisciplinary approach equates to what is sometimes referred to as “spinal cord medicine.”However, readers in many languages have been relegated to individual subsections of diverse texts in fields such as neurology, neurosurgery, orthopedics, rehabilitation medicine, internal medicine, general surgery, and urology. The focus of this book is on our areas of specialization: neurology, neurosurgery, and rehabilitation medicine. Those with special interests may supplement their reading with specialized literature primarily in urology, plastic surgery, hand surgery, andrology, gynecology, algology, psychiatry, and, of course, the crucial areas for rehabilitation outcome represented by the allied medical professions of physical therapy, occupational therapy, behavioral sciences, and the like.
1 History
2 Epidemiology
3 Anatomy and Physiology
4 Pathophysiology
5 Clinical Examination
6 Management at the Accident Scene
7 Management at the Hospital
8 Diagnostic Methods
9 Pharmacological Treatment
10 Overview of Specific Injuries to the Spinal Column and Ligaments
11 Upper Cervical Spine Fractures and Ligament Injuries (C0–C2)
12 Lower Cervical Spine Fractures and Ligament Injuries (C3–C7)
13 Surgical Management of Injuries to the Cervical Spine
14 Thoracolumbar Fractures and Ligament Injuries
15 Conservative Treatment Following Injuries to the Spinal Column
16 Children with Spinal Cord Injury
17 Cervical Spinal Column and Spinal Cord Injuries in Athletes
18 Penetrating Injuries
19 Nontraumatic Myelopathies
20 Psychosocial Factors
21 Pain
22 Musculoskeletal Problems
23 Compression Neuropathies
24 Circulatory and Respiratory Disorders
25 Gastrointestinal Problems
26 Urogenital Sequelae Including Sexual Dysfunction
27 Pressure Ulcers
28 Sleep Disturbances
29 Women with Spinal Cord Injury
30 Rehabilitative Neurosurgery
31 Paramedical Rehabilitation
32 The Aging SCI Patient
33 Long-term Follow-up
34 Research and Development
Index
Product Details
- Hardcover: 336 pages
- Publisher: Oxford University Press, USA; 1 edition (August 3, 2010)
- Language: English
- ISBN-10: 019537276X
- ISBN-13: 978-0195372762
- Product Dimensions: 10.2 x 7.2 x 0.7 inches
List Price: $110.00