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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Spinal Cord Trauma

I have previous spinal cord trauma. 16 years ago was involved in a roll over/ejection accident. T-4 had slipped out and was sitting on my spinal cord, i went 13 days undiagnosed with the spinal cord trauma. I had a T1-T7 fusion and my right leg never regained complete feeling. I have recently had an mri done and it shows that I have a 3cm syrinx at T8-9 and a 2cm syrinx at T5-6 along with levoscoliosis in my lower back. I have an appointment with a neurologist Wednesday. Can you tell me you think can be done for me?
Tue, 1 Sep 2015
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Orthopaedic Surgeon,  's  Response
Hi there, thanks for your question at HCM.

Spinal cord injury is one of the frustrating medical conditions to manage for both the patient and is spine Surgeons. The treatment options for spinal cord injury with neruo deficit are still evolving. Post spinal cord trauma any meaningful recovery in neurogical condition happens during the first 6 months. The expected recovery afte the intial 6 months is almost 0. This is attributable to irreversible changes( as of now) happening in the cord architecture, which includes atrophy , thinnig of nerve structures( myelomalacia)associated with fluid filled cavity formation(syrinx).Once these have set in , further recovery is improbable.If you have power in your leg and only sensory loss, it is still manageable as you can maintain mobility and function independently. PT, strengthening exercises canhhelp function better. Also spinal trauma is one of the commonly missed trauma cases in the ER.The levoacoliosis in your lower back , should not be a matter of concern if the pain in lower back is negligible or manageable.

I hope this answers your queries.

All the best.Regards.

Dr.SBK.
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Suggest Treatment For Spinal Cord Trauma

Hi there, thanks for your question at HCM. Spinal cord injury is one of the frustrating medical conditions to manage for both the patient and is spine Surgeons. The treatment options for spinal cord injury with neruo deficit are still evolving. Post spinal cord trauma any meaningful recovery in neurogical condition happens during the first 6 months. The expected recovery afte the intial 6 months is almost 0. This is attributable to irreversible changes( as of now) happening in the cord architecture, which includes atrophy , thinnig of nerve structures( myelomalacia)associated with fluid filled cavity formation(syrinx).Once these have set in , further recovery is improbable.If you have power in your leg and only sensory loss, it is still manageable as you can maintain mobility and function independently. PT, strengthening exercises canhhelp function better. Also spinal trauma is one of the commonly missed trauma cases in the ER.The levoacoliosis in your lower back , should not be a matter of concern if the pain in lower back is negligible or manageable. I hope this answers your queries. All the best.Regards. Dr.SBK.