Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 13 - The Spinal Cord, Spinal Nerves, and Somatic Reflexes - Study Guide - Testing Your Comprehension - Page 506: 1

Answer

Jillian's tragic accident resulted in a severe hyperextension injury to her neck, causing multiple fractures of vertebrae C1, C6, and C7, as well as extensive damage to the spinal cord. The reason she died rather than being left quadriplegic is likely due to the level and extent of the spinal cord injury and the critical functions controlled by the damaged area. Here's an explanation: 1. **Location of the Spinal Cord Injury:** The location and extent of the spinal cord injury are crucial factors. The spinal cord consists of various segments, each responsible for specific functions. In Jillian's case, the injury occurred at a high cervical level, involving vertebrae C1, C6, and C7. This region of the spinal cord controls critical functions related to breathing and other vital autonomic functions. 2. **Damage to Vital Autonomic Centers:** The upper cervical levels of the spinal cord are associated with the control of essential autonomic functions, including those related to respiration (breathing). The brainstem, located just above the upper cervical spine, houses vital respiratory centers responsible for regulating the breathing process. 3. **Disruption of Autonomic Functions:** Severe damage to the upper cervical spinal cord, particularly at the level of C1, can disrupt the autonomic functions necessary for normal breathing and other vital processes. In Jillian's case, the extensive damage to the spinal cord likely resulted in the immediate loss of respiratory control, leading to respiratory arrest. 4. **Irreversible Damage:** The autopsy findings of multiple fractures and extensive spinal cord damage suggest that the injuries were severe and likely resulted in the destruction of neural pathways necessary for life-sustaining functions. This type of catastrophic injury often leads to irreversible and immediate loss of these functions, including the ability to breathe and maintain blood pressure. In contrast, quadriplegia refers to paralysis of all four limbs due to a spinal cord injury. While quadriplegia is a devastating condition, individuals with quadriplegia can survive and adapt to their condition with the appropriate medical care and rehabilitation. However, in Jillian's case, the critical injuries occurred at a level of the spinal cord where immediate and life-sustaining functions were compromised, leading to her tragic and untimely death.

Work Step by Step

Jillian's tragic accident resulted in a severe hyperextension injury to her neck, causing multiple fractures of vertebrae C1, C6, and C7, as well as extensive damage to the spinal cord. The reason she died rather than being left quadriplegic is likely due to the level and extent of the spinal cord injury and the critical functions controlled by the damaged area. Here's an explanation: 1. **Location of the Spinal Cord Injury:** The location and extent of the spinal cord injury are crucial factors. The spinal cord consists of various segments, each responsible for specific functions. In Jillian's case, the injury occurred at a high cervical level, involving vertebrae C1, C6, and C7. This region of the spinal cord controls critical functions related to breathing and other vital autonomic functions. 2. **Damage to Vital Autonomic Centers:** The upper cervical levels of the spinal cord are associated with the control of essential autonomic functions, including those related to respiration (breathing). The brainstem, located just above the upper cervical spine, houses vital respiratory centers responsible for regulating the breathing process. 3. **Disruption of Autonomic Functions:** Severe damage to the upper cervical spinal cord, particularly at the level of C1, can disrupt the autonomic functions necessary for normal breathing and other vital processes. In Jillian's case, the extensive damage to the spinal cord likely resulted in the immediate loss of respiratory control, leading to respiratory arrest. 4. **Irreversible Damage:** The autopsy findings of multiple fractures and extensive spinal cord damage suggest that the injuries were severe and likely resulted in the destruction of neural pathways necessary for life-sustaining functions. This type of catastrophic injury often leads to irreversible and immediate loss of these functions, including the ability to breathe and maintain blood pressure. In contrast, quadriplegia refers to paralysis of all four limbs due to a spinal cord injury. While quadriplegia is a devastating condition, individuals with quadriplegia can survive and adapt to their condition with the appropriate medical care and rehabilitation. However, in Jillian's case, the critical injuries occurred at a level of the spinal cord where immediate and life-sustaining functions were compromised, leading to her tragic and untimely death.
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