Spinal Cord Reconstruction Surgery for Spinal Cord Injury

History

Patient Tamer, a 34-year-old male from Egypt, was admitted to Beijing Puhua International Hospital with a history of “more than 3 months of lower limb mobility disorder after car accident.”

This patient had suffered a complete spinal cord injury at D5-6 after traffic accident . On 28 JUN 2012 he was diagnosed with complete cord transection at D6 with secondary paraplegia, left hemo-thorax, right pneumothorax, comminuted fracture of left tibia, minimal abdominal fluid collection and fractured ribs.

MRI image dated on 15 JUL 2012 confirmed the spinal cord injury at D5-6 (“lateral dislocation of D6 is noted with severe spinal canal compromise”).

After reviewing of all the medical reports and MRI images provided by the patient’s family, the neurosurgery team at Beijing Puhua International Hospital felt that this patient was a candidate for Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy.

On 17OCT12 the patient was admitted to Beijing Puhua International Hospital for Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy.

On 08JUL13, the patient was re-admitted to Beijing Puhua International Hospital for further treatment.

Medical Condition before Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy for Complete Spinal Cord Injury (SCI)

At re-admission, both feet were noted to be congested and edematous, and there were multiple bedsores on the lower limbs.

Muscle strength: 5/5 in the upper limbs, 0/5 in the lower limbs. Deep-tendon reflex was symmetrically absent in the legs, and the rest of the neurological exam was constant with a complete spinal cord injury. Sensation below T4 was absent.

Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy for Complete Spinal Cord Injury (SCI)

On 24 OCT 2012 the patient underwent “intra-spinal exploration of post-medial approach via original incision, nerve cell activation with biopsy of the lesion.”

On 15JUL 2013, 19JUL 2013, 22JUL 2013 and 26JUL 2013, the patient was given courses of Neural Growth Factor Therapy via lumbar puncture.

Medical condition after Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy for Complete Spinal Cord Injury (SCI)

One month after Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy for Spinal Cord Injury (SCI), in NOV 212, the patient’s condition was obviously improved, and he was in good spirits with steady vital signs and clear speech.

The movement of his limbs was already improving, and it was a remarkably pleasant surprise for the patient to discover that the sensory level was improving significantly. The incision was also healing very well.

Nine months after the Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy, Tamer came back to our hospital for further treatment. His sensory level had improved from T4 to T6. Meanwhile, the muscle tone of lower limbs was also improved. He could also feel deep sensation in the knees and ankles while standing. Muscular contractions were noted in the muscles of his left calf.

Patient Tamer was very satisfied with the initial response to Spinal Cord Reconstruction Surgery and Neural Growth Factor Therapy at Beijing Puhua International Hospital for his complete spinal cord injury (SCI). We will continue to pay close attention to his improvement of physical condition.