We would like to graciously acknowledge Shannon Sproule, PT for her contribution to the development of this case study.
Mr. TK is a 22 year old student in Engineering. At age 16 he developed back pain and was diagnosed with a localized Ewing sarcoma of the L5 vertebrae which was treated with both surgery and radiation therapy. Despite the relatively poor prognosis for this condition, Mr. TK remains cancer free at 6 years post diagnosis. Mr. TK developed weakness in the legs, paresthesias, and bowel, bladder, and sexual dysfunction at age 18 years. He was diagnosed with radiation myelopathy, and symptoms evolved but have been stable since age 19 years. Radiation myelopathy is a spinal cord disorder not caused by trauma. However, if the ASIA Impairment Scale (AIS) were applied, Mr. TK would have a T10 AIS D spinal cord injury.
Figure 1. Mr. RB’s presenting condition.
Figure 2. T7-T8 SCI AIS A spinal injury level. From Medical Illustration
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