Aditya Birla Memorial Hospital successfully treats 22-year-old man suffering from cervical spine trauma due to 300 kgs of metal block

Aditya Birla Memorial Hospital successfully treats 22-year-old man suffering from cervical spine trauma due to 300 kgs of metal block

 

Aditya Birla Memorial Hospital (ABMH), Pune, which is Pune’s first Joint Commission International (JCI) and College of American Pathologists (CAP), USA Accredited Hospital, successfully treated Ashok (name changed), the 22-year-old boy who suffered an injury in his neck. The injury was after a heavy metal block of 300 kgs fell on his head leading to the fracture of the spine.

 

Ashok was presented to Aditya Birla Memorial Hospital (ABMH) with a history of injury at his work place. A metal block of 300 kg had fallen on his head because of which he sustained serious injury to his neck resulting in loss of strength in his lower limbs and complete loss of sensation below his chest. He also had retention of urine due to the loss of sphincter (circular muscles that open and close certain body parts to regulate the passage of some type of fluid, such as bile, urine or fecal matter) muscle tone.

 

“Ashok had been managed at a different hospital overnight where the MRI of cervical spine revealed burst fracture of C7 vertebrae with cord compression and contusion i.e. bruising of the spinal cord leading to inflammation and bleeding from nearby blood vessels. Burst fracture is a type of traumatic spinal injury in which a vertebra breaks from a high-energy axial load with shards of vertebra penetrating surrounding tissues and sometimes the spinal canal. Burst fractures are considered more severe than compression fractures because long-term neurological damage can follow”, said Dr. Rakesh Ranjan, Senior Consultant Neurosurgeon at ABMH. “Once he was brought to ABMH, we immediately evaluated him clinically and radiologically. His condition was very critical, hence after sharing details of the injury, evaluating the result and obtaining the consent we immediately took Ashok for surgery”, he further added.

 

Ashok’s surgery lasted for around 5 hours. The C7 vertebral body was removed with fusion technique using iliac crest (the thick curved upper border of the ilium, the most prominent bone on the pelvis) graft, titanium plate and screws. Post-operation recovery procedure of ambulation was started early, to rehabilitate the patient to make him get up and walk.

 

“During his recovery Ashok also suffered from excess fluid around the right lungs and pulmonary thromboembolism i.e. blockage of the pulmonary artery when a blood clot from a vein becomes dislodged from its site of formation and travels to the arterial blood supply of one of the lungs. He was treated with pleurocentesis where the liquid was drained, anti-coagulation of blood clot through antibiotics”, informed Dr. Rakesh Ranjan.

 

Ashok started regaining sensation in his lower limb within 3 weeks and the limbs were spastic at the time of discharge. After a month he can ambulate on wheel chair and has also regained partial sensation below his chest and legs.

 

“We are glad that Ashok is improving every day. In these kinds of accidents more than 75% of the patients are completely paralyzed for life. His vertebrae had completely broken. I am glad that he doesn’t have to suffer further and live a life of dependency. Seeing his improvement we are sure that he will be back on his feet in a year’s time”, shared Dr. Rakesh Ranjan.

 

Rajendra Ganotra is the Editor of Spicy Stars Mumbai

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