Central cord syndrome Orthopaedia

Description: Spinal cord injuries span the spectrum from the devastating complete paralysis to inconsequential sensory pathology. There are approximately 200,000 to 230,000 people with spinal cord injuries in the United States at any given moment. Motor vehicle accidents account for the vast majority new spinal cord injuries of these producing nearly half of these. The average age of a patient with a new onset spinal cord injury ranges between 28 and 36 years old. On the other hand, the patients that experience a spinal cord injury due to a fall are generally an elderly person with underlying cervical spine pathology such as stenosis.
Hence, a classic Hemi-Cord Syndrome, therefore, will produce ipsilateral motor paralysis and ipsilateral loss of proprioception and two point discrimination, with contralateral loss of pain, temperature and crude touch.