Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.
Neurol India. 2014 Mar-Apr;62(2):192-4. doi: 10.4103/0028-3886.132395.
To report two cases of traumatic paraplegia who developed Sub-acute Post-Traumatic Ascending Myelopathy (SPAM) following surgical decompression.We hereby report two cases (both 35yr old male) with traumatic paraplegia that developed ascending weakness at 3rd and 5th Post-Op day respectively following surgical decompression. Both the patients experienced remarkable improvement in Neurology after treatment with steroids. The authors conclude by emphasizing on minimum cord handling during surgical decompression of the spinal cord to avoid this potentially life threatening complication.
报告两例创伤性截瘫患者，他们在手术后减压后出现亚急性创伤后上升性脊髓病（SPAM）。我们在此报告两例（均为 35 岁男性）创伤性截瘫患者，他们在手术后减压后分别于第 3 天和第 5 天出现上升性无力。两位患者在接受类固醇治疗后神经功能均显著改善。作者最后强调，在脊髓减压手术中应尽量减少脊髓的操作，以避免这种潜在的危及生命的并发症。
