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This is because the spinal cord injury is at one of the lower cervical vertebrae. The severity of the injury increases as the vertebrae get higher. Usually, damage to the cervical vertebrae results in some form of quadriplegia, depending on which vertebrae is damaged. C6 specifically, carries functions up to the wrist. That is, if C6 is damaged, individuals lose fine motor skills in the hands and below, but retain some wrist function.

In order to lose control of the head and neck, there must be damage of C2 or higher (which is most likely fatal, as injuries above C4 require a ventilator, as the person is no longer able to breathe on their own).

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Q: How can a person who has spinal cord damage at C6 still have control of his or her head and neck?
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