Case Study: Spinal Cord Reconstruction Surgery for Spinal Cord Injury

Patient Information:

• Name: Gurjit Brar
• Diagnosis: Spinal Cord Injury
• Date of Birth: 1956-08-02
• Gender: Female
• Country: Canada

Treatment: Spinal Cord Reconstruction Surgery, Neural Nutrition Medicine, Traditional Chinese Medicine (TCM)

Case History:
Gurjit Brar, a 60-year-old female patient, suffered a spinal cord injury in August 1987 at the T11-12 level due to a car accident. She had no movement below this level. An MRI conducted on 2011-02-05 revealed a post-traumatic wedge compression fracture at T11, with evidence of spinal cord injury, including cord transection and multiple cystic intra-and extra-axial lesions.

Upon admission to Beijing Puhua International Hospital on March 9th, 2016, the patient could not walk, feel her lower extremities, or control bowel or bladder function. She underwent spinal cord reconstruction surgery during which she received nerve grafting from her shank and neural nutrition medicine injected into the injured part. Postoperatively, she was provided rehabilitation training and acupuncture treatment.

Post-treatment improvements (reported after 6 months):

1. Better sleep: Periods of 5-6 hours throughout the night.
2. Improved leg movement: Legs slightly moved to indicate bathroom needs; no leaking incidents, demonstrating better bladder control.
3. Reduced frequency of bathroom visits: No longer needed to go every 3 hours; now visits every 4-5 hours without leaking.
4. Pain reduction: Approximately 40-50% pain reduction on the left side.
5. Hair growth: Noticed hair growth on legs.
6. Improved circulation: Bruising (previously blue/black) is now primarily a flesh tone, and feet occasionally bruise.
7. Reduced swelling: A dramatic decrease in swelling was observed.
8. Improved sensation: Can feel "feeling sensation" in both feet when instructed to move them.
9. Postoperative recovery: The back has fully recovered from surgery with no pain or other sensations.
10. Muscle activity: Can feel leg nerve/muscle attempt to move internally, although there is no external movement yet.
11. Increased sensation: Has considerable sensation in the left leg when held; her mother can also feel restriction even with eyes closed.
12. Spasm reduction: A 90% decrease in leg spasms allows her to now sleep through 6-7 hours without waking up (previously, she could only sleep for 1-2 hours).

Follow-up: The patient's family decided to bring her back to Beijing Puhua International Hospital for further treatment with neural nutrition medicine combined with rehabilitation training and TCM. We look forward to her continued improvement and will strive to help her regain mobility again.

Case Study: Spinal Cord Reconstruction Surgery for Spinal Cord Injury

Patient Information:

• Name: S.C.
• Date of Birth: July 21, 1980
• Gender: Male
• Country: Bangladesh

Diagnosis: Spinal Cord Injury following a fall from height.

History:
Mr. Syed Maksodul Hassan Chowdhury suffered a spinal cord injury after falling from a significant height and experiencing a brief period of unconsciousness. He had no sensation in his lower limbs post-accident.

Three months after the incident, his brother discovered an advanced treatment option for him: Spinal Cord Reconstruction Surgery at Beijing Puhua International Hospital.

Medical Condition Prior to Intervention:

• Sensations absent below T10
• Unable to sit or walk
• No urinary or bowel control

Interventions:
After admission, Mr. Chowdhury underwent the following procedures:

1. Spinal Cord Reconstruction Surgery: On November 2, 2015, he received spinal cord reconstruction surgery during which Neural Growth Factor was injected into the injured area to promote re-growth of the spinal cord.
2. Neural Growth Factor Therapy via Lumbar Puncture: On November 12, 2015, he was given Neural Growth Factor Therapy to strengthen the previous treatment.

Medical Condition Post-Treatment:

Six months after the intervention, Mr. Syed Chowdhury has made significant improvements:

• He can sit and get up with assistance
• He experiences burning sensations when urinating, indicating increased sensation in that area
• His sensation level has improved down to the knee joints level

He shared a recent video showcasing his rehabilitation progress, highlighting the significant improvement he has made.

Case Study: Spinal Cord Reconstruction Surgery for Complete Spinal Cord Injury

Patient Information:

• Name: Mr. Ziani
• Date of Birth: January 1, 1971
• Gender: Male
• Country: Algeria

Diagnosis: Complete spinal cord injury (SCI) following traumatic injury

Admission History: The patient was admitted due to bilateral lower limb dyskinesia and sensory disturbance post-trauma, with impaired bowel and bladder control for over 18 months.

Medical Condition Prior to Surgery:

• Alert and oriented, with fluent speech
• Pupils equal, round, and reactive; no nystagmus
• Ocular movements intact
• Muscle strength: 5/5 in upper limbs, 0/5 in lower limbs
• Sensory level: absent in saddle area of lower limbs
• Anal reflex (-), bilateral Babinski sign (-)

Treatment:
On May 8, 2013, the patient underwent spinal cord reconstruction surgery. Postoperatively, he received a regimen that included nerve nutrition therapy, infection prevention, comprehensive rehabilitation training, and traditional Chinese medicine (TCM) acupuncture for 21 days.

Medical Condition After Surgery:

• Significant improvement in overall condition
• Steady vital signs and clear speech
• Sensory level improving; sensory plane decreasing to abdominal level
• Incision healing well

Patient Satisfaction: Mr. Ziani expressed high satisfaction with the initial outcomes of the combined spinal cord reconstruction surgery and neural growth factor therapy at Beijing Puhua International Hospital for his complete SCI.

This case study illustrates a successful application of advanced surgical techniques and comprehensive rehabilitation approaches in managing complete spinal cord injury, leading to significant functional improvements for the patient.

Case Study: Spinal Cord Reconstruction Surgery for Spinal Cord Injury

Patient Information

• Name: Ebrahim Mohamed
• Date of Birth: August 31, 1983
• Gender: Male
• Country of Origin: Bahrain

Diagnosis and Chief Complaints

• Spinal cord injury following a traffic accident on June 27, 2015, presenting with movement disorder, loss of motor function and sensation in legs, and loss of bladder and bowel control.

Pre-Treatment Condition

• General physical condition above the level of injury was relatively good.
• Muscle strength: Arms (5/5), Legs (0/5)
• Muscle tone: Decreased in legs
• Sensation: Absent below T5
• Anus reflex: Absent

Treatment and Interventions
Ebrahim Mohamed underwent a comprehensive treatment program at Beijing Puhua International Hospital, which included:

1. Spinal Cord Reconstruction Surgery (November 9, 2015):

   • Intra-spinal surgical exploration via posterior-medial approach
   • Surgical repair of the spinal cord

2. Post-Operative Management:

   • Fluid infusion and infection prevention
   • Nerve nutrition therapy
   • Traditional Chinese Medicine (TCM)
   • Physical rehabilitation training

3. Neural Growth Factor Therapy (November 17, 2015):

   • Lumbar puncture for targeted delivery of neural growth factors

4. Bedsore Repair (November 19, 2015)

Post-Treatment Progress
Following the completion of the treatment program, Ebrahim Mohamed experienced significant improvements in his condition:

• Enhanced sensation in legs
• Improved strength in upper limbs and trunk
• Increased optimism regarding recovery and potential regain of motor function in legs

Prior to discharge, Ebrahim Mohamed contributed to a video sharing his positive early results, encouraging others with similar conditions.

Patient Satisfaction
Mr. Ebrahim Mohamed expressed high satisfaction with the treatment and care he received at Beijing Puhua International Hospital.

Disclaimer: This case study is based on the provided information and represents one patient's experience. Individual results may vary.