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#490972
Helen Carey
Participant

Hi Maggie,
I am jumping in to help as Jessica is taking a vacation break!

Neurologic Level of Injury (NLI): The lowest spinal segment where sensory AND motor function are intact bilaterally.
This requires three components: Sensory exam (dermatomes), Motor exam (myotomes), Sacral exam (S4–5)

****So, yes your hypothetical would indicate a L2 NLI because that is the level where both sensory AND motor function are intact bilaterally.

Neurological level of injury (NLI):
The NLI refers to the most caudal segment of the spinal cord with normal sensory and antigravity motor function on both sides of the body, provided that there is normal (intact) sensory and motor function rostrally. The segments at which normal function is found often differ by side of the body and in terms of sensory and motor testing. Thus, up to four different segments may be identified in determining the neurological level, i.e., R(ight)-sensory, L(eft)-sensory, R-motor, L-motor. The single NLI is the most rostral of these levels.
Motor level (per side): Lowest key muscle with ≥3/5 strength; Provided muscles above are 5/5

(Rupp R, Biering-Sørensen F, Burns SP, et al. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Top Spinal Cord Inj Rehabil. 2021;27(2):1-22. doi:10.46292/sci2702-1)