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Spinal Cord Compression Vs. Abutment After a Car Accident

Last Updated: July 3, 2025

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Written By:   Attorney Michael L. Saile

Written By:

  Attorney Michael L. Saile

From time to time, we will be posting information regarding common injuries that our clients sustain from automobile accidents. Many of these medical terms you may not have ever heard of before. We hope to not only represent our clients, but also educate them on all aspects of their case.

What is the difference between spinal cord compression and spinal cord abutment? When a space-occupying lesion (something that doesn’t belong in a space, i.e., splinter, bullet or tumor), in the form of a herniated disc (by definition always from trauma) goes beyond the borders of the disc/vertebrate into the spinal canal, it can touch and/or push the spinal cord. If it pushes the spinal cord against the back of the spinal canal in a “pincer” fashion with pressure both in front and back of the spinal cord, this is a cord compression. When the herniated disc simply touches, or is against the spinal cord leaving space behind the spinal cord, this is a cord abutment. The difference is dramatic in symptomatology and necessity for treatment where the cord compression is a much more serious condition, often necessitating surgery.

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Written By Michael L. Saile, Jr.
Managing Attorney at Cordisco & Saile

Serving as a personal injury attorney in Pennsylvania, Michael Saile has been honored as both a Brain Injury Top 25 Lawyer by National Trial Lawyers and a 2024 Super Lawyer. He earned his J. D. at Widener University School of Law where he was a member of the Moe Levine Trial Advocacy Honor Society. Saile is also the author of two publications titled “Not Another Bad Lawyer” and “Don’t Crash Again”.

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