Spinal Cord Compression-II

British Medical Journal, 1970 · DOI: · Published: March 14, 1970

Simple Explanation

There are three localized infections which may give rise to paraplegia. Spontaneous subluxation and luxation of the cervical spine as a consequence. of rheumatoid arthritis and steroid therapy are becoming a rather common cause of tetraparesis. Males over 50 are usually affected. The precise relationship between the two conditions is not clearly understood, but it is generally believed that as the canal becomes narrowed by the progressive de-eneration protrusion, and sclerosis of one or more cervical discs, the spinal cord suffers increasing attrition and flattening of its anterior aspect.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Not specified

Key Findings

1
Tuberculosis caries of the spine (Potts paraplegia)-The cord compression is usually due to the presence of tuberculous granulation tissue within the spinal canal.
2
Acute pyococcal (staphylococcal) extradural abscess may cause a paraplegia of overwhelming suddenness and is accompanied by much pain in the back, pyrexia, and leucocytosis.
3
Disc herniation in the thoracic region is a rare cause of paraplegia of sudden onset usually accompanied by much midline back pain and root pains.

Research Summary

Informed and active nursing care is essential for paraplegic patients. A patient with an acute paraplegia may develop gross distension of the bowel amounting to an ileus, presumably due to disturbance of its autonomic nerve supply. After an operation for spinal cord compression there must be an active regimen of physiotherapy.

Practical Implications

Early Diagnosis

Early and accurate diagnosis of spinal cord compression is crucial to prevent irreversible damage.

Multidisciplinary Approach

Effective management requires a coordinated approach involving neurological assessment, radiological investigations, surgical intervention, and rehabilitation.

Individualized Treatment

Treatment strategies should be tailored to the specific etiology and severity of the spinal cord compression, considering factors such as infection, degeneration, or malignancy.

Study Limitations

1
Lack of specific statistical data or control groups.
2
The study relies on clinical observations and experience.
3
Some treatment recommendations are based on the author's preference rather than controlled trials.

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