1 Fusion hardware was removed and he again underwent rehabilitation. Although the patient could not provide an operative report, the surgical team (Lima and colleagues) published their transplantation and surgical procedure. Using a nasal approach, the surgical team harvested an olfactory mucosa graft that was transplanted to his spinal cord lesion on the next day. At 26 years of age, the patient had undergone experimental stem cell transplantation. This means that half or more of the key muscles below the neurologic level of injury were active against gravitational resistance. According to the American Spinal Injury Association (ASIA) Impairment Scale (AIS) ( ), which grades impairment after spinal cord injury from A (complete motor and sensory deficits) to E (neurologically intact), he had sustained an ASIA D injury (i.e., motor incomplete). Despite having had posterior spinal fusion and rehabilitation, he had partial paralysis of his arms, and severe paralysis of his legs and trunk. The patient’s medical history included a C5/C6 fracture-dislocation secondary to trauma at 20 years of age. Physicians in Canada should be aware of stem cell tourism because they may need to counsel patients on transplantation or diagnose complications in those who have had such procedures.Ī 38-year-old man was referred to the neurosurgical clinic with a 3- to 4-year history of deteriorating neurologic function in his arms (sensory disturbance with some subjective weakness) and gradual loss of bladder function. There is low-quality evidence for olfactory mucosal autograft surgery in patients with spinal cord injury. Mass lesion is a delayed complication of stem cell transplant. Although there is legitimate research being done on stem cell therapies, a large industry targets patients in developed countries with unproven treatments, using Internet-based marketing.
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