Martínez TJ, García DJÁ, Rodríguez AEM, Morais DM, Anido EV, Matos LE

Language: Spanish
References: 11
Page: 96-102
PDF size: 55.22 Kb.

ABSTRACT

Raquimedular injury is the injury mixed of the bond constituent in the vertebral column and the neurologic content that includes the spinal cord and his envelopes, causes change in the movement’s functions, sentient and autonomy. The optimum handling of this problem necessitates a multidisciplinary equipment of attention at the patient. 49 years patient that suffered accident by descend 3 m with fracture from corps vertebral L 1 from October 5, 2013. Surgery with internal inmovilization (vices titanium instrumentality transpediculares and perches) on October 11 and until then uses a corset. Then of the surgical intervention from the column hi haven´t control of urinary or rectal sphincter muscle. Not neurologic damage in inferior’s members developing normal motion though paresthesy and pain in perineal region and less members. Multidisciplinary evaluation was done, with specialists of urology, gastroenterology, neurophisiology, physic medicin and rehabilitation. Rehabilitation treatment included: magnetotherapy, electric stimulated in the perineal area with superficial and intracavity electrod, pelvic floor exercises. In addition cycles of ozonoterapy and hiperbaric camera. Urinary and fecal continence was got diminishing parenthesis and pain on inferior’s members he doen´t use specific medicine in these moments, a laboral reincorporation.

REFERENCES

1. García Vicente E, Martín Rubio A, García y García EL Trauma raquimedular. MEDICRIT Agosto 2009; 4(3):66-75.

2. Freitas De Morais D, De Melo Neto JS, Ronaldo Spotti A, Antonio Tognola W. Predictors of clinical complications in patients with spinomedullary injury. Coluna/Columna 2014:13, 2 São Paulo apr-jun.

3. Melo Neto JS, Antônio Tognola W, Ronaldo Spotti A, Freitas de Morais D. Analysis of patients with spinal cord trauma associated with traumatic brain injury. Coluna/columna 2014:.13, 4 São Paulo oct-dec.

4. De Lisa, J.Rehabilitation of the spinal cord injury. neurogenic bladder and bowel. Rehabilitation medicine-principles and practice. J.B. Lippincott,1988 pp. 635, 492.

5. Vaquero Crespo J, Zurita M, Aguayo C. Paraplejia traumática a nivel dorsal: alteraciones morfológicas de la médula espinal a largo plazo. Trauma, 2014;25(3):136-42.

6. Ruskin P. Spinal cord (Neurogenic bladder). Current Ther Physiat Phys Med Rehab. W.B. Saunders, 1994. Pp. 379.

7. Espinal Gil A, ValenciaValencia D. Evaluación cualitativa de la rehabilitación en pacientes con trauma raquimedular. Rev Colombiana de Med Fis Rehab 2014;24:2.

8. Liu CW, Attar KH, Gall A, Shah J, Craggs M. The relationship between bladder management and health-related quality of life in patients with spinal cord injury in the UK. Spinal Cord. 2010;48:319-24.

9. Aaronson MJ, Freed M, Burakoff R. Colonic myoelectric activity in persons with spinal cord injury. Dig Dis Sci 1985;30:295-300.

10. Menardo G, Baujano G, Corazziari E. Large bowel transit in paraplegic patients. Dis Colon Rectum 1987;30:924-8.

11. Braddom R.L, Rocco. Jack. .Autonomic dysreflexia. Am J Phys Med Rehabil. 1991;1(70):234-41.