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Journal of the Korean Academy of Rehabilitation Medicine 1991;15(1):133-137.
L1 paraparesis not to get functional gait: selective posterior column injury: case report.
Kim, Jong Cheol , Lee, Chyung Ki
Department of Medicine, Gyeoungsang National University
양호한 근력을 갖고도 기능적 보행을 얻지 못한 양하지 마비 1례
김종철, 이청기
경상대학교 의과대학 재활의학교실
Abstract

Functional outcome in cord-man depends on the severity and height of the injured spinal cord in large proportion and several factors such as age, contracture, spasticity, upper extremity function, etc. L2 paraplegia can get to the functional ambulation in usual. We experienced L2 paraparesis patient not to get to it. He had good grade in major muscle power (below L1 myotome), moderate hypesthesia in sensory (below L1 dermatome), intact peripheral nerves and muscles. He could stand alone without any orthosis in only one hand support, but couldn't stand if no asist in both eye opening and closing states (positive Romberg test). In the computerized tomography and magnetic resonance imaging, the posterior column of his spinal cord at T11 spine level was distroyed selectively. The spinal sensory ataxia due to the posterior column damage was considered as his critical point not to set to the functional gait.

Key Words: Functional gait, Spinal cord injury, Functional outcome


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