Treatment of severe double spinal cord injuries

This is a case report describing an injury-sustained by a 25-year-old man d uring a car accident, and characterized by fracture dislocation of the spin e at the level of C7 and T4 accompanied by pulmonary contusion. He had an i ncomplete spinal cord lesion at the level of C7 and a complete lesion at th e level of T4 (T4 ASIA A). Imaging of the spine showed three column fractur es with ventral spinal cord compression at both levels. Discussants of this case comment on the concept of acute treatment of severe double spinal cor d injuries, and present their chosen way of management in this particular c ase.