Rehabilitation report of 2 cases of spinal cord ischemic injury after intra-aortic repair

Spinal cord ischemia is a rare but serious complication of aortic surgery. This report discusses the rehabilitation and imaging of two patients with this condition, exploring the causes, prevention, and treatment. The first patient, 69, experienced paralysis after aortic aneurysm surgery. The second, 41, had aortic dissection and weakness in his lower limbs. Both were diagnosed with paraplegia and spinal cord ischemia. Both patients underwent rehabilitation including strength training, sensory input, and activities of daily living. The first patient recovered well, while the second's recovery was limited.

• 1
  Perioperative spinal cord protection is critical for postoperative quality of life. This includes cerebrospinal fluid drainage and maintaining adequate arterial pressure.
• 2
  Early detection and treatment of spinal cord ischemic injury are essential, including cerebrospinal fluid drainage, methylprednisolone, ganglioside, and supportive treatments.
• 3
  Repetitive functional training is important for helping patients return to their families and society.