What is the Most Serious Spinal Cord Injury in Calgary

Spinal cord injuries (SCI) are among the most severe forms of physical trauma, leading to permanent disabilities and a lifetime of medical needs. While all spinal cord injuries are serious, some are more devastating than others. In Calgary, the most critical type of spinal cord injury is a complete cervical spinal cord injury, which results in the loss of motor and sensory function below the site of injury. This article explores what makes complete cervical injuries the most serious, the implications for victims, and the unique challenges faced by those affected.

What Are Complete Cervical Spinal Cord Injuries?

A complete spinal cord injury means there is a total loss of communication between the brain and the body below the injury site. This results in paralysis and a complete loss of sensation. The cervical region (neck area) is the most vulnerable and significant part of the spine. Injuries here can lead to tetraplegia (also known as quadriplegia), affecting both the arms and legs, as well as vital bodily functions.

Key Characteristics of Complete Cervical Injuries:

Total Loss of Movement: The victim experiences paralysis from the neck down, losing the ability to move arms, hands, and legs.

Loss of Sensory Function: There is no sensation below the level of injury, meaning the individual cannot feel pain, temperature changes, or touch.

Impaired Autonomic Functions: Essential bodily functions like breathing, heart rate, and blood pressure may be disrupted, often requiring medical devices like ventilators for support.

The severity of these injuries makes them the most life-altering, often requiring extensive medical care, rehabilitation, and lifelong support.

The Levels of Cervical Spinal Cord Injuries

Cervical spinal cord injuries are classified based on the specific vertebrae affected. The cervical spine consists of seven vertebrae (C1-C7), and injuries at each level have different implications.

1. High Cervical Injuries (C1-C4)

Injuries at the C1-C4 levels are the most devastating. They often result in complete paralysis of all four limbs and require the use of a mechanical ventilator, as the victim may lose the ability to breathe independently.

C1-C2 Injuries: These are the most severe. Damage at this level typically results in the loss of all motor functions and requires full-time mechanical ventilation. Victims may lose control over their head and neck movements as well.

C3-C4 Injuries: While slightly lower, injuries at these levels still result in quadriplegia. Breathing may be severely compromised, often necessitating respiratory support.

2. Lower Cervical Injuries (C5-C7)

Injuries to the lower cervical spine (C5-C7) also result in severe disabilities but may allow for limited movement in the shoulders or arms.

C5 Injuries: Victims may have some control over the shoulder and bicep muscles, allowing limited arm movement but no control over the hands or lower body.

C6-C7 Injuries: These injuries may permit wrist extension and some hand movement, but the lower body remains paralyzed.

Although lower cervical injuries may allow for slightly more mobility, they still result in significant loss of function and independence, making them extremely serious.

The Impact of Complete Cervical Spinal Cord Injuries on Quality of Life

Complete cervical spinal cord injuries are not just physically debilitating—they have far-reaching consequences that affect every aspect of a person’s life, including their mental health, social interactions, and financial stability.

Physical Challenges and Limitations

Victims of complete cervical injuries face profound physical challenges, including:

Paralysis: Complete loss of movement below the neck means that the victim requires full-time assistance with daily activities, such as eating, dressing, and bathing.

Chronic Pain and Spasticity: Many individuals suffer from chronic neuropathic pain and involuntary muscle spasms, which can be difficult to manage and severely impact their comfort and quality of life.

Respiratory Complications: High cervical injuries often impair breathing, making victims reliant on ventilators or other respiratory aids for survival.

Psychological and Emotional Toll

The emotional impact of a complete cervical injury is profound. The sudden and permanent loss of physical abilities can lead to severe psychological distress, including depression and anxiety.

Depression: The drastic lifestyle change and loss of independence can result in feelings of hopelessness and prolonged depression.

Social Isolation: Physical limitations and accessibility challenges often make it difficult for victims to participate in social activities, leading to isolation and loneliness.

Post-Traumatic Stress Disorder (PTSD): The traumatic nature of the injury can lead to PTSD, further complicating the emotional recovery process.

Financial Burden

The financial impact of a complete cervical spinal cord injury is staggering. The costs associated with medical treatment, rehabilitation, and ongoing care can quickly add up to millions of dollars.

Medical Expenses: Initial hospitalization, surgeries, and ICU stays can cost hundreds of thousands of dollars. Ongoing medical care, including regular specialist visits and prescription medications, adds significantly to these costs.

Rehabilitation and Therapy: Lifelong rehabilitation, including physical therapy, occupational therapy, and speech therapy, can easily cost $100,000 or more per year.

Assistive Devices and Home Modifications: Victims often require expensive equipment like customized electric wheelchairs (costing $20,000 to $40,000) and extensive home modifications (ranging from $50,000 to $100,000).

Why Complete Cervical Injuries Are the Most Serious in Calgary

In Calgary, the challenges of treating and managing complete cervical spinal cord injuries are exacerbated by the need for specialized medical facilities and long-term care options. The severity of these injuries requires a coordinated approach involving neurosurgeons, rehabilitation specialists, respiratory therapists, and mental health professionals.

Limited Mobility and Harsh Climate

Calgary’s cold winters and snowy conditions pose additional challenges for individuals with complete cervical injuries. Navigating icy sidewalks and managing temperature sensitivity can be particularly difficult, requiring careful planning and adaptive measures.

Accessibility Issues

While Calgary has made strides in improving accessibility, public transportation and many buildings still present barriers for those with severe mobility impairments. This limits the victim’s ability to access essential services, socialize, and engage in the community.

Conclusion

Complete cervical spinal cord injuries are the most severe type of spinal injury, resulting in life-altering disabilities and requiring extensive medical and personal support. The impact on the victim’s physical abilities, mental health, and financial situation is profound, making these injuries the most challenging to manage.

In Calgary, access to comprehensive medical care and legal support is crucial for victims and their families. If you or a loved one has experienced a complete cervical spinal cord injury, seeking guidance from specialized healthcare providers and consulting with an experienced Calgary spinal cord injury lawyer can help navigate the complexities of treatment and secure the necessary resources for long-term care and quality of life.

About Donald I.M. Outerbridge

Donald became the Executive Director of Merchant Law Group LLP starting in 1993, nearly 30 years ago. His experience managing law firms at various levels and in multiple provinces across Canada goes back even further to 1981.