What is paraplegia from spinal injury?

Paraplegia results from spinal cord injuries at thoracic, lumbar, or sacral levels causing lower body paralysis while preserving arm function. Thoracic injuries (T1-T12) affect trunk and legs with higher injuries impacting more trunk control. Lumbar injuries (L1-L5) primarily affect legs and pelvic organs with some preserving hip function. Sacral injuries affect bowel, bladder, and sexual function with limited leg involvement. Functional abilities include full arm and hand use enabling wheelchair propulsion and transfers. Independence potential exceeds quadriplegia though significant limitations remain. Complications include pressure sores, urinary infections, spasticity, and autonomic dysreflexia. Wheelchair accessibility needs focus on home and vehicle modifications. Vocational options include sedentary work utilizing preserved upper extremity function. Sexual function impacts vary by level affecting fertility and intimacy. Life expectancy approaches normal with proper care unlike higher injuries. Psychological adjustment involves grieving walking loss while maximizing remaining abilities. Athletic opportunities through adaptive sports provide quality of life. Social reintegration challenges include accessibility barriers and relationship changes. Damage calculations must project decades of medical needs and lost opportunities. Understanding paraplegia impacts helps value significant but not total disability appropriately.