Partial Recovery of Traumatic Spinal Cord Injury Following Posterior Decompression/ Free Hand Pedicle Screw Instrumentation: A Case Report
Spinal cord injuries can be highly disabling. Although effective treatment for spinal cord injuries remains limited, operative stabilization and decompression of the neural canal may give rise to a better outcome and a faster rehabilitation. We report the operational management and rehabilitation of a 30-year-old woman who sustained L1 traumatic spinal cord injury with paraplegia (ASIA B) after being hit on the back by a pack of falling bricks. She sustained multiple vertebral fractures and a traumatic spondylolisthesis of L2/ L3, with canal stenosis were noted at the same level on MRI. Pedicle screw fixation of L1 to L4 (free-hand technique) was done with decompression of L2/L3 segments. Immediate recovery of power to the hip flexors was noted on the second post-operative day, with corresponding reduction in low back pain and subsequent mobilization on wheel chair at the end of the second post-operative week. At the end of the eight post-operative week, patient began full weight bearing on a Zimmer’s frame without support.
Key words: Spondylolisthesis, Neural canal, ASIA, Spinal recovery