A total of 141 cases of traumatic tetraplegia were admitted to the Liverpool Paraplegic Centre between 1947 and 1967. Most of the deaths occurred within three months of injury, and comparison with other centres suggests that the early mortality could be reduced by more use of mechanical respirators.Urological complaints and pressure sores are hazards that can be overcome by careful attention to...

intervertebral joints, with contusion of the cord by the neural arch at the moment of injury, and that spontaneous reduction accounted for the subsequent normal radiographic appearances. This theory was criticised by Cramer and McGowan (1944), and Barnes (1948) showed that a posterior dislocation in flexion that was capable of spontaneous reduction did not produce sufficient narrowing of the sp...

1900 www.thelancet.com Vol 381 June 1, 2013 our report due to space limitations. The patient was thoroughly evaluated before enrolment, including a case review with her treating neurologist (GM) of more than 14 years. The patient fi rst noted stiff ness in her legs at age 36 years, 17 years before enrolment. Over several months, stiff ness pro gressed to fatigue, weakness in the legs, and then ...

The patterns of movement and muscle activation in wheelchair ambulation have been studied in two groups: subjects with paraplegia (n = 4) and tetraplegia (n = 3). All subjects were physically active and experienced wheelchair users. The tests were done in the subjects' own wheelchairs and under free-wheeling conditions. The tasks studied were: self-chosen normal velocity, maximal velocity and m...

In tetraplegia, hand reconstruction is of high priority. Key pinch has been advocated for tetraplegia because the lack donors nerve and tendon transfers. We report a patient with mid-cervical who underwent transfers in right left upper limbs seven months post-injury to reconstruct function. The particularity our case resides left-hand thumb index pulp-to-pulp reconstruction. For this, we transf...

A patient with Rubinstein-Taybi syndrome complicated by tetraplegia secondary to cervical spondylolisthesis is reported. The abnormalities presenting in this condition are reviewed.

INTRODUCTION Extended manual wheelchair use has been associated with repetitive strain injuries in the shoulder and has been identified as a contributing factor to upper limb pain experienced by manual wheelchair users with spinal cord injury (SCI) [1]. Due to the nature of their SCI, individuals with tetraplegia (formerly quadriplegia) may be at an even greater risk for developing shoulder inj...