Spinal Cord Injury due to Cervical Disc Herniation Caused by Bench Pressing
|Futoshi Suetsuna1,2*, Yoshihiko Okudera1, Toshihiro Tanaka1 and Takuya Tamura2|
|1Department of Orthopaedic Surgery, Hachinohe Municipal Hospital, Japan|
|2Department of Rehabilitation, Hachinohe Municipal Hospital, Hachinohe, Japan|
|Corresponding Author :||Futoshi Suetsuna
Department of Orthopaedic Surgery & Rehabilitation
Hachinohe Municipal Hospital, 1, Bishamondaira
Tamukai, Hachinohe, Aomori, 031-0011, Japan
E-mail: [email protected]
|Received December 27, 2013; Accepted January 24, 2014; Published January 27, 2014|
|Citation: Suetsuna F, Okudera Y, Tanaka T, Tamura T (2014) Spinal Cord Injury due to Cervical Disc Herniation Caused by Bench Pressing. J Spine 3:154. doi:10.4172/2165-7939.1000154|
|Copyright: © 2014 Suetsuna F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
The authors report the case of a 24-year-old man who presented with sudden onset quadriplegia while doing a bench press in the supine position. He had a history of cervical disc herniation at the C6/7 level. Plain x-rays showed no spinal fracture and no spinal canal stenosis. MRI revealed a C6/7 disc herniation that severely compressed the spinal cord. Physical exam showed complete spinal cord injury below C8 level. Urgent C6/7 anterior decompression and fusion using hydroxyapatite (HA) was performed. A large, sequestrated herniation mass into the spinal canal was removed. His neurological deficits improved gradually after surgery. Over 3 years postoperatively, he can walk by himself without crutches, though he has slight motor weakness of left finger and foot, paresthesia below C8 on the right, and slight bladder disturbance.
Many cases of cervical spinal cord injury caused by sporting injury have been reported. Those cases generally accompanied high energy trauma such as fracture dislocations. This case did not involve any large cervical motion before injury or any spinal fracture. This very important case shows the possibility of a spinal cord injury in supine position without high energy trauma. Patients with cervical disc herniation should be counseled about the risk of participating in sports, including those without significant neck motion.