Brachial Plexus vs. Spinal Cord Injury: How They Differ Medically and Legally

When parents hear that their child has suffered a nerve-related injury at birth, the terms can be overwhelming and confusing: brachial plexus, spinal cord, nerve damage, paralysis. These birth injuries are often the start of a life-altering journey, filled with uncertainty, decisions, and the need for answers. At Stalwart Law Group, we help families navigate what comes next, and part of that work means helping you understand the differences in your childโ€™s diagnosis โ€” especially when it comes to brachial plexus injuries versus spinal cord injuries at birth.

Letโ€™s break it down.

Brachial Plexus Injuries: What They Are

The brachial plexus is a network of nerves that controls movement and sensation in the shoulder, arm, and hand. It originates at the spinal cord in the neck and extends through the shoulder and into the arm.

How Do Brachial Plexus Injuries Happen?


In the delivery room, these injuries often happen when:

  • The babyโ€™s shoulder becomes stuck behind the motherโ€™s pelvic bone (a condition called shoulder dystocia)
  • There is excessive pulling on the babyโ€™s head or neck during delivery
  • There is improper use of tools like forceps or vacuum extractors

Common Outcomes of Brachial Plexus Injury

  • Weakness or paralysis in one arm
  • Loss of sensation or motor control
  • A condition called Erbโ€™s Palsy, which affects movement in the upper arm and shoulder

Can It Be Permanent?

Yes. While some babies regain function with physical therapy and time, severe cases may lead to permanent nerve damage, requiring surgery or lifelong assistance.

Spinal Cord Injuries at Birth: What They Are

Spinal cord injuries are much more severe, affecting the central nervous system that controls movement and sensation throughout the entire body.

How Do Spinal Cord Injuries Occur During Birth?

  • Excessive traction or twisting of the babyโ€™s neck during delivery
  • Misuse of delivery-assist devices (like forceps or vacuum)
  • Medical negligence in handling a difficult or traumatic delivery

Common Outcomes of Spinal Cord Injury

  • Paralysis in the lower or entire body
  • Loss of bladder and bowel control
  • Severe developmental delays

Key Medical Differences

Brachial Plexus Injury Spinal Cord Injury
Affects peripheral nerves Affects central nervous system
Usually localized to one arm Can impact entire body below injury
Often recoverable with therapy Often permanent and more disabling
Less life-threatening Higher risk of life-altering disability

Why the Legal Approach Differs

Both injuries can result from medical malpractice during childbirth. But how the law treats them can differ โ€” and so can your path to justice.

1. Experts Required

  • Brachial plexus cases often require orthopedic surgeons and nerve specialists
  • Spinal cord cases typically demand testimony from neurologists, rehabilitation experts, and others

At Stalwart Law Group, we work with top-tier experts in both fields to build medically accurate and thorough cases from day one.

2. Proving Negligence

In either case, the challenge is showing that the injury wasnโ€™t simply a risk of childbirth, but the result of avoidable medical error. That means:

  • Proving deviations from the standard of care
  • Demonstrating that improper delivery technique caused the injury
  • Linking the injury directly to the conduct of the provider or hospital

How We Help Families With Nerve and Spinal Birth Injuries

Weโ€™ve helped families across California and beyond pursue justice for both types of injuries. Whether the case centers on a preventable brachial plexus injury or a devastating spinal cord injury at birth, we handle each one with:

  • Urgency and precision, because time is critical for securing evidence
  • Empathy, because we understand whatโ€™s at stake for your family
  • Results, because weโ€™ve recovered millions for families impacted by birth trauma

Call for a Free Legal Review

If your child suffered a nerve or spinal injury at birth, we encourage you to reach out. You donโ€™t need all the answers right now โ€” just the right people asking the right questions.

Schedule a free consultation with our team. Letโ€™s figure out what happened, what went wrong, and what justice could look like for your family.

* The articles provided on the Stalwart Law website are for informational purposes only and are not intended to be used as professional legal advice or as a substitute for legal consultation with a qualified attorney.  

About The Author

Picture of Elizabeth Teixeira, Trial Lawyer

Elizabeth Teixeira, Trial Lawyer

Elizabeth โ€œBethโ€ Teixeira is a trial lawyer specializing in medical malpractice, personal injury, medical device liability, and wrongful death cases for plaintiffs.

Bethโ€™s favorite aspect of any trial or arbitration is guiding her clients and their families as they share how their lives have been irrevocably changed by an injury or the loss of a loved one. Her hands-on approach to damages throughout litigation helps her clients achieve the results they need to move forward with their lives.

Scroll to Top