"A Unique Case of Rehabilitation of a Young Girl with a Bilateral Above the Knee Stumps and Spina Bifida"

Abstract

A clinical example of rehabilitation of a 26-year-old girl who underwent amputation of both thighs in childhood and who moves in a wheelchair is considered. Concomitant pathology of the spinal cord -the presence of meningomyelocele and open Spina bifida did not allow the fabrication of leg prostheses on the stump of the thighs without preliminary surgical preparation. Long-term sitting position and movement only in a wheelchair led to the formation of contact chronic osteomyelitis of the pelvic bones. A number of staged operations for the treatment of osteomyelitis, correction of spinal deformity in the Spina bifida area were performed. Then, primary prosthetics of the stumps of both thighs was performed, in combination with orthosis (corset made of thermoplastic material) of the lumbar spine. This allowed the patient to be verticalized, who was able to stand and move with the help of a walker. This observation demonstrates a positive result of a multidisciplinary approach to the rehabilitation of patients with a very complex combined pathology of the musculoskeletal system: the spine and lower extremities.