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ARTICLE | July 16, 1949

TREATMENT OF PARAPLEGIA RESULTING FROM TRAUMA TO THE SPINAL CORD

L. W. FREEMAN, M.D., Ph.D.

JAMA. 1949;140(11):949-958. doi:10.1001/jama.1949.82900460001006.

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ABSTRACT

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The essentials in the care of the patient suffering from a paralysis of the legs resulting from injury to the spinal cord consist of the prompt application of the following points:

Rotation or flexion of the spine should be studiously avoided or the spinal cord may be severed.
The deformity of the spine should be promptly reduced by traction or hyperextension or both.
The patient must be turned every two hours at least.
Proper care of the bladder includes:
- Avoidance of distention or continuous contraction.
- Encouragement of the development of an automatic bladder.
- Avoidance of urinary sepsis, or prompt treatment if it occurs.
- Prevention of urinary calculi by exercising upper extremities in bed and by early ambulation.
Proper care of the skin
- Avoid prolonged pressure; turn frequently.
- The bed should be clean, dry, smooth and flat.
- Maintain adequate protein intake.
- Large decubitus ulcers should be repaired surgically.

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FREEMAN LW. TREATMENT OF PARAPLEGIA RESULTING FROM TRAUMA TO THE SPINAL CORD. JAMA. 1949;140(11):949-958. doi:10.1001/jama.1949.82900460001006.

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