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. 2022 Apr 20;23(9):4552. doi: 10.3390/ijms23094552

Table 1.

Comparison between primary and secondary spinal cord injury (SCI). Created based on information from [4,18,20,21,22,23].

Injury Type Primary Injury Secondary Injury
Comparison Criteria
Description Mechanical disruption of the spinal cord during trauma Rapidly escalating cascade of acute and chronic degenerative events
Cause External force acting directly or indirectly on the spinal cord Chemical and physical events created by the primary injury
Characteristics Mechanical destruction of neural tissue
Hemorrhage within the spinal cord
Compression
Laceration
Transection
Oxidative stress
Loss of mitochondrial homeostasis
Ischemia
Hypoxia
Cellular damage
Demyelination of axons
Glial scar formation
Disconnection of living neurons
Inflammation
Immune response