Individuals with spinal cord injury (SCI) fall into two basic groups: traumatic spinal injuries, typically due to an accident, fall or violence such as gunshot or stab wound; and non-traumatic spinal injuries or illnesses, typically due to a tumor, infection, or vascular event affecting the spinal cord.
During the most recent fiscal year ending June 30, 2013, Madonna served 233 individuals with spinal cord injuries, including:
Diagnosis: Of the 78 persons Madonna served on Acute Rehabilitation:
|C5-7 Tetraplegia||C1-4 Tetraplegia||Paraplegia||Other|
In addition to the type of injury, spinal injuries are also broken down into levels. The following are commonly referred to:
Paraplegia — An injury to the thoracic or lumbar spine, resulting in paralysis and/or decreased sensation of the lower trunk and legs.
Quadriplegia or Tetraplegia — An injury to the cervical spine, resulting in paralysis and/or decreased sensation of the neck, trunk as well as arms and legs. Tetraplegia is often distinguished between C1-4 and C5-8 because of the differences in abilities between those levels of injury.
Spinal injuries also may be described as “complete” when the communication of nerve impulses are completely interrupted below the level of injury, or “incomplete” when some fibers remain intact, allowing some movement and/or sensation below the level of injury. Like many other rehabilitation providers, Madonna uses the ASIA scale to help set functional goals based on the injury level.
A final group of individuals who are included with other spinal cord injurie patients include those with musculo-skelatal disease of the spine with associated nerve impingement. These conditions are often seen in rehabilitation hospitals after a patient undergoes a surgical procedure called a laminectomy. These patients are referred to as “Other SCI.”
Madonna is one of the region’s only rehabilitation hospitals that serves patients with SCI who are ventilator-dependent. Madonna has an excellent track record for ventilator weaning, but also provides very effective programming for persons with high-level quadriplegia for whom ventilator weaning is not feasible.
The average age was 40 years.
Madonna serves patients with SCI from multiple states, including Missouri, Iowa and Kansas. In fact, 62% of the patients admitted to Madonna’s inpatient SCI Program during the last fiscal year lived outside Lincoln, including 35 from out of state.
To assist our patients from out of town, Madonna offers affordable on-campus housing.