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Spinal cord injury (SCI), as with acute stroke, is a dynamic process. In all acute cord syndromes, the full extent of injury may not be apparent initially. Incomplete cord lesions may evolve into more complete lesions. More commonly, the injury level rises 1 or 2 spinal levels during the hours to days after the initial event. A complex cascade of pathophysiologic events related to free radicals, vasogenic edema, and altered blood flow accounts for this clinical deterioration. Normal oxygenation, perfusion, and acid-base balance are required to prevent worsening of the spinal cord injury.
Patients with spinal cord injury classified as American Spinal Injury Association (ASIA) level D are more likely to be employed than individuals with ASIA levels A, B, and C (see Neurologic level and extent of injury under Clinical). Persons employed tend to work full-time. Individuals who return to work within 1 year of injury tend to return to the same job. Those individuals who return to work after 1 year of injury tend to work for a different employer at a different job requiring retraining. [17]
The Control Plan mirrors the PFMEA (Process Failure Mode and Effects Analysis) and provides more details on how potential issues are checked in the incoming inspection, assembly process, or during the inspection of the finished part. Learn more about control plan requirements and download a free template. 153554b96e
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