Question

Bowel and urinary bladder control involve spinal reflex arcs that are located in the sacral region of the spinal cord. In both instances, two sphincter muscles—an inner sphincter of smooth muscle and an outer sphincter of skeletal muscle—control the passage of wastes (feces and urine) out of the body. How would a transection of the spinal cord at the L1 segment level affect an individual's bowel and bladder control?

Accepted Answer

Step 1: Understand the anatomy involved. The bowel and urinary bladder control rely on spinal reflex arcs located in the sacral region of the spinal cord, specifically controlling the inner sphincter (smooth muscle) and outer sphincter (skeletal muscle). Step 2: Identify the location of the spinal cord transection. The injury is at the L\_1 segment, which is above the sacral region where the reflex arcs for bowel and bladder control reside. Step 3: Analyze the effect of the transection on neural pathways. Since the transection is above the sacral reflex centers, communication between the brain and these reflex arcs will be disrupted, but the reflex arcs themselves remain intact. Step 4: Predict the functional outcome. Without brain control, voluntary control of the outer sphincter (skeletal muscle) is lost, but reflexive control of the inner sphincter (smooth muscle) may still occur, leading to reflexive emptying without voluntary control. Step 5: Summarize the clinical implication. The individual would likely experience loss of voluntary bowel and bladder control (incontinence), but reflexive emptying might still be possible due to intact sacral reflex arcs below the lesion.

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Concetti chiave

Spinal Cord Anatomy and Segmental Organization

Spinal Reflex Arcs for Bowel and Bladder Control

Effects of Spinal Cord Transection on Autonomic and Somatic Control