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Rehabilitation of patients with thoracic spine injury treated by spring alloplasty

Stabilization of the traumatic injured spine by means of springs, called spring alloplasty, was introduced into clinical practice by Professor M. Weiss in 1965 and has been applied in the Warsaw Medical Academy Rehabilitation Clinic ( Konstancin ) ever since. The springs here replace the damaged system of posterior ligaments of the spine, restoring its stability and alleviating the front (often damaged) part of the body. This method has been used in surgery on about 350 patients mainly with spinal injury in the thoracic and thoracolumbar levels. Spine stabilization by the method in question usually makes it possible to start an early verticalization and an active rehabilitation. The verticalization of the patient in a specially designed bed is introduced as early as a few days after the accident, and attempts at active verticalization are made in 2-3 weeks time after surgery, thus the rehabilitation process is substantially precipitated and the period of hospital treatment is significantly reduced. The methodology of rehabilitation of the patients in question has been presented and functional effects of the treatment have been discussed in the paper.