Case Study: Spinal Cord Reconstruction Surgery for Spinal Cord Injury

Patient Information:

• Name: Christopher Paul
• Diagnosis: Spinal Cord Injury (SCI)
• Date of Birth: January 14, 1983
• Gender: Male
• Country of Origin: United Kingdom

Medical History and Admission:

Christopher Paul, a 21-year-old male, was admitted to Beijing Puhua International Hospital with a three-year history of movement disorder in his right leg following a previous injury.

Preoperative Evaluation:

• Pain sensation below the right groin was absent (<1cm) and reduced (<3cm) on the left side.
• Muscular tension was normal in all four limbs.
• Upper limb muscle strength was normal (5/5), while the right lower limb had abnormal muscle strength (0/5).
• Ankle clonus test was negative, but pathological signs were positive on the right side.
• An incisional scar was present in the middle of the lower back.

Treatment and Intervention:

After admission, Christopher underwent spinal cord injury exploration via a posterior midline approach. Intraoperative management included fluid infusion to prevent dehydration, meticulous hemostasis, infection prophylaxis, and administration of cerebral nutrients. In conjunction with neurosurgical intervention, Neural Growth Factor Therapy was administered via lumbar puncture.

Postoperative Course and Outcome:

Following 19 days of inpatient treatment, including surgery and rehabilitation training, Christopher reported significant improvement in his mid-body and upper limb strength. The surgical wounds healed Class-A, with stitches removed successfully. Christopher expressed extreme satisfaction with the initial therapeutic response.

Conclusion:
This case illustrates the successful application of spinal cord reconstruction surgery and Neural Growth Factor Therapy for managing chronic SCI symptoms. Early intervention and comprehensive rehabilitation contributed to Christopher's improved functional outcomes and overall satisfaction with his treatment at Beijing Puhua International Hospital.