Affiliations: Spinal Cord Injuries Unit, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Pakistan
Correspondence:
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Address for correspondence: DR. Saeed Bin Ayaz, Consultant PM&R; Spinal Cord Injuries Unit, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Abid Majeed Road, Rawalpindi 46000, Pakistan.
Tel.: +92 333 5245770; Office: +92 51 9272071; E-mail: [email protected]
Abstract: Objective:To report an unusual case of cervical spinal cord injury. Study design:Case report of a 23 year old soldier who sustained spinal cord injury in front rolls during a military training program. Settings:Spinal Cord Injuries Unit, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan. Case report:A 23 year old soldier, who voluntarily joined a military training program, suffered spinal cord injury in doing front rolls resulting in tetraplegia and incontinence for bowel and bladder corresponding to the injury level of C5 ASIA Impairment Scale C with Functional Independence Measure Score of 40/126. His Magnetic Resonance Imaging showed posterior displacement of CV3 resulting in cord compression and swelling at CV3 and CV4 levels. He was managed conservatively by comprehensive rehabilitation and improved to spinal cord injury C5 ASIA Impairment Scale D with Functional Independence Measure Score of 76/126. Conclusion:This case report describes spinal cord injury secondary to front-rolls. As front-rolls are part and parcel of military training, awareness and coaching to ensure safety must be exercised from the beginning of any training program.
Keywords: Cervical spinal cord injury, military training, tetraplegia, Pakistan
