Quadriplegia - Classification

Classification

Spinal cord injuries are classified as complete and incomplete by the American Spinal Injury Association (ASIA) classification. The ASIA scale grades patients based on their functional impairment as a result of the injury, grading a patient from A to D. (see table 1 for criteria) This has considerable consequences for surgical planning and therapy.

Table 1: ASIA impairment scale

A Complete no motor or sensory function is preserved in the sacral segments S4-S5.
B Incomplete sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5.
C Incomplete Incomplete: motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade less than 3.
D Incomplete Incomplete: motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade of 3 or more.
E Normal motor and sensory function are normal.

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