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November 5, 1949, Vol 141, No. 10 >

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Other Articles | November 5, 1949

ANESTHESIA FOR THE PARAPLEGIC PATIENT

JAMES G. KURFEES; SCOTT WHITEHOUSE; FRANK CERZOSIMO
JAMA. 1949;141(10):638-640. doi:10.1001/jama.1949.02910100004002.
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During World War I approximately 80 per cent of the men who received injuries of the spinal cord died within the first few weeks as a result of urinary infections and decubitus ulcers.1 Today through more effective means of counteracting shock, rapid evacuation of the wounded and the almost miraculous effects of the sulfonamide drugs and antibiotics, large numbers of patients who sustained injuries of the spinal cord are living and are being rehabilitated for a useful life in their community.

MATERIAL  Since January 1945 we have had the opportunity to observe a series of 49 cases in which injuries of the spinal cord resulted in either complete or partial paralysis of the lower extremities with varying degrees of dysfunction of bladder and bowel.The cervical region was involved in 14 cases, the thoracic in 30 and the lumbar in 5 (table 1). The total number of surgical operations

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