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  4. Rehabilitation of a Patient With D12 Wedge Compression Fracture and Bilateral Foot Drop With Spinal Fusion and Posterior Decompression: A Case Report

Rehabilitation of a Patient With D12 Wedge Compression Fracture and Bilateral Foot Drop With Spinal Fusion and Posterior Decompression: A Case Report

Cureus, 2024 · DOI: 10.7759/cureus.51561 · Published: January 3, 2024

OrthopedicsRehabilitation

Simple Explanation

This case report discusses the rehabilitation of a 67-year-old woman with a D12 wedge compression fracture and bilateral foot drop, who underwent spinal fusion and posterior decompression. After surgery, she received physiotherapy treatment for three weeks. The physiotherapy protocol included pain relief measures, exercises to improve muscle strength and range of motion, and gait training. The patient's pain, mobility, and functional independence improved after the treatment. The case highlights the importance of physiotherapy in post-operative rehabilitation for patients with vertebral fractures and neurological deficits.

Study Duration
3 Weeks
Participants
A 67-year-old female patient
Evidence Level
Case Report

Key Findings

  • 1
    The patient experienced a reduction in pain, as indicated by the improvement in the VAS score from 6.3 to 1.7.
  • 2
    There was a notable improvement in functional independence, with the FIM score increasing from 46 (maximal assistance) to 73 (minimal assistance).
  • 3
    The patient's Oswestry low back disability questionnaire score improved from 26 (severe disability) to 12 (mild disability), indicating a reduction in disability.

Research Summary

This case report describes the rehabilitation of a 67-year-old female patient with a D12 vertebral wedge compression fracture and bilateral foot drop following spinal fusion and posterior decompression. A patient-tailored physiotherapy protocol was implemented over three weeks, focusing on pain relief, improving muscle strength and range of motion, and gait training. The patient showed significant improvements in pain, functional independence, and disability, highlighting the importance of physiotherapy in post-operative rehabilitation for such cases.

Practical Implications

Comprehensive Treatment Protocol

The case report provides a detailed physiotherapy treatment protocol that can be used as a reference for similar cases of post-operative spinal fusion patients with vertebral fractures and foot drop.

Importance of Early Physiotherapy

The positive outcomes highlight the significance of early physiotherapy intervention in improving functional outcomes and quality of life for patients undergoing spinal fusion and posterior decompression.

Patient-Tailored Approach

The success of the treatment emphasizes the importance of a patient-centered approach to physiotherapy, tailoring the protocol to address the specific needs and deficits of each individual.

Study Limitations

  • 1
    Single case report limits generalizability
  • 2
    Short follow-up period of three weeks
  • 3
    Lack of a control group for comparison

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