A man with accident , has evrything paralysed below neck... what will u tell to relatives about surgical intervention:
sensory of arms will come back
sensory of legs will come back
motor of legs
bowel bladder function


Transverse spinal cord lesions give signs and symptoms below the level of the lesion.
2. Lesions in the region of the central canal affect primarily decussating pain and temperature fibers, giving signs and symptoms at the level of the lesion. However, if the transverse extent of the lesion is large, the longitudinal tracts and even the motor neurons in the anterior horn may be affected. When spinothalamic fibers are involved by an expanding central lesion, the sacral fibers tend to be spared.
3. Intrinsic cord lesions are usually painless and affect autonomic function early. Extrinsic compression is usually accompanied by focal pain in the affected segment of the spine, and autonomic involvement is late.



Clinical Aspects

Acute Spinal Cord Compression or Transection. The acute spinal cord compression or transection syndrome is most commonly the result of trauma, such as vertebral fracture or gunshot wound. Rarely, it may be seen as a result of intervertebral disk herniation or as a result of intramedullary spinal cord disease (hemorrhage or infarction). Complete spinal cord transections give rise to spinal shock. There is complete flaccid paralysis and sensory loss below the level of the lesion, and urinary and fecal retention occur. If the lesion is above the midthoracic level, interference with descending sympathetic tracts gives rise to failure of the sympathetic nervous system with attendant hypotension, and anhydrosis is evident below the level of the lesion. With high cervical lesions, severe respiratory embarrassment is the rule. If the patient does not succumb to respiratory failure or urinary tract infection, recovery from spinal shock starts in several days to weeks, with return of stretch reflexes and the beginning of reflex micturition. As weeks and months progress, increasing spastic rigidity of previously flaccid muscles occurs, and patients usually have involuntary muscle spasms (flexor spasms).