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See full list on mayoclinic.org Anterior cord syndrome: Impacting the front of the spinal cord, this injury impacts the cord’s motor and sensory pathways, making movement increasingly difficult and lessening sensitivity. Central cord syndrome: Impacting the center of the spinal cord, this injury damages nerves that relay signals to the spinal cord from the brain. Resulting effects can include loss of fine motor functions, partial impairment and arm paralysis, and loss of bladder and bowel control and sexual functions. The education of spinal cord injury medicine fellows must include exposure to a diverse population of patients with traumatic and non-traumatic spinal cord injuries throughout the continuum of care. It is imperative for the program to demonstrate in the documents required for program review a history of exposure to patients in this continuum. Sex and spinal cord injury is a complex issue but many people with a spinal cord injury do have full, loving relationships and schools should promote this message. With any level of spinal cord injury, the person will most likely have some impact on their sexual function.