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Hindi Case Report
Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex
Dziri S1, Mouhli N2*, Miri I1 and Dziri C1
1Department of Physical and Rehabilitation Medicine, National Orthopaedic Institute Mohamed Taieb Kassab, Manouba
2Medical School of Tunis, University of Tunis El Manar, Tunisia
- Corresponding Author:
- Dr. Najla Mouhli, M.D
Medical School of Tunis
University of Tunis El Manar, Tunisia
Tel: +21654448048
E-mail: najla.mouhli@gmail.com
Received Date: October 30, 2016; Accepted Date: February 02, 2017; Published Date: February 10, 2017
Citation: Dziri S, Mouhli N, Miri I, Dziri C (2017) Rehabilitation of a Case of Post-Operative Paraplegia in Arthrogryposis Congenita Complex. J Nov Physiother 7:332. doi:10.4172/2165-7025.1000332
Copyright: © 2017 Dziri S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Arthrogryposis is an orthopedic condition characterized by greater or lesser stiffness at the four members and less frequently of the spine. Treatment is with certain orthopedic surgical indications in functional aim. The purpose of this work is to present a complex case of arthrogryposis multiplex congenita with partially reversible neurological complications following spinal surgery.
Presentation of the case of a ten year old boy, who had previous surgeries in the lower limbs, addressed in the department of Physical and Rehabilitation Medicine of the National Orthopaedic Institute Mohamed Taieb Kassab, twenty one days after a kyphosis and lumbar dorsal scoliosis surgery complicated by paraplegia justifying the removal of material. The clinical examination at the admission found a paraplegia ASIA C D4 with neurogenic bladder. The multidisciplinary care was provided in the department of Physical and Rehabilitation Medicine in two hospitalizations with progressive goals (analgesia, joint gain, standing up, walk, urinary autonomy and rehabilitation).
Six months after the second hospitalization, the child had regained the standing position, walking with adapted equipment, and bladder balance.
Arthrogryposis manifests by stiff joints, interesting the four members, with skin abnormalities and occurs in children with normal intelligence. Treatment is based on assiduous care with physiotherapy care, occupational therapy and early orthopedic continued throughout growth. Surgical treatments deformations there are delicate, with poorer results than in idiopathic etiology.
The management in physical medicine were based on multidisciplinary cares, enabling the patient to walk, to have a better autonomy and urinary balance, allowing to hope for a good family and social insertion, particularly the resumption of his schooling.
