1 case of cervical spondylolisthesis with high paraplegia care.docVIP

 PAGE \* MERGEFORMAT 7 1 case of cervical spondylolisthesis with high paraplegia care Of: Li Lin, Liang Feng, Wu Qun, YANG Ting-ting [Keywords:] cervical spine; paraplegia; Care September 2008, our department treated the sixth cervical vertebra in 1 case with anterior dislocation of paraplegic patients in a critical condition, after 47 days of intensive care, the patient’s condition stable, into the Department of Rehabilitation for further treatment. 1 Case information Patients, female, 42 years old in a construction job site accidentally from a high of about 2.5 m at the fall, feet first, and then lean back the ground, head and neck fell on hard objects, and immediately caused multiple lacerations and two patients with scalp lower extremity sensory and motor disorders, severe head pain. skull and cervical spine CT chest Tip: swelling of head, brain were normal, G6 moderate slip, move forward and down about 1 / 2 vertebrae, vertebral compression significantly , T1 ~ 4 Cone no definite fracture phenomenon. examination: Department head with multiple scalp bruises, the right occipital region shows a gap of about 5 cm, had debridement, neck tenderness. bilateral sternal angle plane The following deep and shallow feeling disappeared, abdominal reflex; upper limbs grade , C8 ~ T1 nerve root dominated area feel numb. of both lower extremities muscles full, reduce muscle tension, lower extremity knee tendon reflex, tendon reflex, lower limbs strength 0. temperature 39.1 , pulse 85 times / min, breathing 19 times / min, blood pressure 17.5/8.5 kPa (1 kPa = 7.5 mm Hg). to give continuous skull traction after admission, and actively improve the relevant examination and preoperative preparation . postoperative antibiotics, dehydrating agent, hemostatic, oxygen, catheterization and other treatment. formulate care plans, close observation of vital signs, pupil, consciousness changes. After 47 days of intensive care, Department of Rehabilitation of patients tra