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Obsolete or chronic traumatic paraplegia is still a difficult medical problem at present time. Many patients with manifestations of post-injury changes in the spinal cord may have similarly normal images when observed with imaging technology like the MRI. These normal imaging results, however, do not indicate that the spinal cord is intact. Indeed, apart from compression and instability, a great difference in the sensory and motor function recovery is always seen among patients though they may have similar MRI imaging changes. So what factors then affect the recovery of the nerves functions? Through anatomical studies and operative observations, we have found that adhesions in the (endorhachis), the traction of the fibrous strip, traumatic scars, (mollescence), and cysts are among the main reasons. Elimination of most of these factors has been shown to benefit patients by increasing their potentials for functional recovery. Authur Dr.Zhang Shaocheng who as a survival and a member of medical team , his experiences with the treatments of patients who sustained either incomplete or complete spinal cord injury from the Tangshan ( Hebei provence, China) earthquake in 1976; as well as numerous patients with spinal cord injuries from various causes in present time, have also led to the concept that additional functional recovery do occur in patients after using specialized microsurgical techniques like dural sheath slitting, nerve segments implantations among others which form the basis for this publication. The author is privileged to disclose that the Tangshan earthquake, herein mentioned, claimed the lives of 250,000 persons, over 240,000 persons sustained various type of traumatic injuries, and about 6,000 persons manifested either paraplegia or quadriplegia and related complications associated with spinal cord injuries.

Microsurgical Management and Functional Restoration of Patients with Obsolete Spinal Cord Injury