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Rehabilitation Practice and Science

Translated Title

整脊後導致急性截癱:病例報告

Abstract

This is a casereport about a 53-year-old female patient with a history of chronic back pain, suffered from complete paraplegia shortly after spinal manipulation. CT and MRI images consistently showed ossification of the ligamenta flava in conjunction with bilateral facet joints hypertrophy at the T10-11, T11-12 and L1-2 levels. Spinal cord injury with T12 paraplegia ASIA-A was thus diagnosed. Posterior laminectomy at the T10, T11, L1 and L2 levels and interbody fusion from T10 to L2 spines for fixation were performed. After rehabilitation, the patient regained some activities of daily living despite complete paraplegia. To raise public awareness, our report highlights the risk of acute paraplegia after forceful spinal manipulation. Furthermore, prompt evaluation and intervention is necessary when symptoms were worsen or neurological deficits were developed.

Language

English

First Page

247

Last Page

252

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