EFFECTIVENESS OF THE COMPLEX REHABILITATION PROGRAMME IN A YOUNG MALE PATIENT WITH INCOMPLETE TETRAPLEGIA FOLLOWING A SPINAL CORD INJURY, WITH FAVORABLE LATE OUTCOME. CASE REPORT

Abstract

Introduction Cervical spinal cord injury (SCI) is severely disabling, often due to high-energy trauma. Management requires a multidisciplinary approach. Though prognosis is usually poor, early individualized rehabilitation may promote neuroplasticity and improve outcomes. Material and Methods We report the case of an 18-year-old male with high cervical spinal cord injury following a motor-scooter accident. Although he presented with tetraplegia, neurological assessment demonstrated a sensory-incomplete AIS/Frankel B lesion. Imaging showed comminuted C4-C5 fractures and spinal cord contusion. The patient underwent emergency splenectomy, followed by transfer to the neurosurgical service, where cervical decompression and stabilization were performed. He subsequently began intensive neurorehabilitation. Initial clinical findings included spastic tetraplegia neurogenic bladder and bowel, and marked ADL limitations. Results Despite initial poor prognosis, the patient showed marked neurological and functional recovery through a structured, patient-specific rehabilitation program. Conclusion Early, intensive, and multidisciplinary rehabilitation can lead to meaningful recovery even in severe cervical SCI.