Spinal Cord Section
The spinal cord is divided into five sections:
the cervical, thoracic, lumbar, sacral, and coccygeal regions. The
level of injury determines the extent of paralysis and/or loss of
sensation. Nerves from each segment connect to specific areas of the
body. No two injuries are alike.

The neck,
or cervical region, referred to as C1 to C8, control signals to the
neck, arms, hands, and to respiration. These injuries usually result
in quadriplegia. Injuries above the C-4 level may require a
ventilator for the person to breathe. C-5 injuries may result in
shoulder and biceps control, but no control at the wrist or hand.
C-6 injuries may yield wrist control, but no hand function.
The
thoracic or upper back region, T1 to T12, control signals to the
torso and some parts of the arms. Individuals with injuries at T1
may straighten their arms but still may have dexterity problems with
the hand and fingers. In injuries from level T1 to T-8 there can be
control of the hands, but poor trunk control. Lower T-injuries (T-9
to T-12) can result in good truck control and good abdominal muscle
control. Sitting balance may be very good.

The lumbar region, L1 through L5, controls the hips and legs.
Individuals with these injuries will experience decreasing control
of the hip flexors and legs.
Besides a
loss of sensation or motor functioning, individuals with SCI also
experience other changes. For example, they may experience
dysfunction of the bowel and bladder. Sexual functioning is
frequently affected: men with SCI may have their fertility affected,
while women's fertility is generally not affected. Very high
injuries (C-1, C-2) can result in a loss of many involuntary
functions including the ability to breathe. Other effects of SCI may
include low blood pressure, inability to regulate blood pressure
effectively, reduced control of body temperature, inability to sweat
below the level of injury, and chronic pain.
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