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great news - he will walk again

Discussion in 'NFL Zone' started by Nors, Sep 11, 2007.

  1. Nors

    Nors Benched

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    Neurosurgeon: Bills' Kevin Everett moved arms and legs, which means he could walk again

    By JOHN WAWROW, AP Sports Writer
    September 11, 2007

    AP - Sep 10, 6:28 pm EDT
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    BUFFALO, N.Y. (AP) -- Kevin Everett voluntarily moved his arms and legs on Tuesday when partially awakened, prompting a neurosurgeon to say the Buffalo Bills' tight end would walk again -- contrary to the grim prognosis given a day before.

    "Based on our experience, the fact that he's moving so well, so early after such a catastrophic injury means he will walk again," said Dr. Barth Green, chairman of the department of neurological surgery at the University of Miami school of medicine.

    "It's totally spectacular, totally unexpected," Green told The Associated Press by telephone from Miami.

    Green said he's been consulting with doctors in Buffalo since Everett sustained a life-threatening spinal cord injury Sunday after ducking his head while tackling the Denver Broncos' Domenik Hixon during the second-half kickoff of the Bills' season opener.

    Everett dropped face-first to the ground after his helmet hit Hixon high on the left shoulder and side of the helmet.

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    Asked whether Everett will have a chance to fully recover, Green said: "It's feasible, but it's not 100 percent predictable at this time. ... But it's feasible he could lead a normal life."

    On Monday, Bills orthopedic surgeon, Dr. Andrew Cappuccino, said Everett likely wouldn't walk again.

    "A best-case scenario is full recovery, but not likely," said Cappuccino, who operated on the reserve tight end. "I believe there will be some permanent neurologic deficit."

    Cappuccino and officials at Millard Fillmore Gates Hospital did not immediately return several messages left with them by The AP.

    In a report Tuesday evening, Buffalo's WIVB-TV quoted Cappuccino as saying: "We may be witnessing a minor miracle."

    Bills owner Ralph Wilson said the team has been in contact from the beginning with Green and the Miami Project, the university's neurological center that specializes in spinal cord injuries and paralysis.

    Everett's agent, Brian Overstreet, also said Everett's mother told him the player moved his arms and legs when awakened from a deeply sedated sleep.

    "I don't know if I would call it a miracle. I would call it a spectacular example of what people can do," Green said. "To me, it's like putting the first man on the moon or splitting the atom. We've shown that if the right treatment is given to people who have a catastrophic injury that they could walk away from it."

    Green said the key was the quick action taken by Cappuccino to run an ice-cold saline solution through Everett's system that put the player in a hypothermic state. Doctors at the Miami Project have demonstrated in their laboratories that such action significantly decreases the damage to the spinal cord due to swelling and movement.

    "We've been doing a protocol on humans and having similar experiences for many months now," Green said. "But this is the first time I'm aware of that the doctor was with the patient when he was injured and the hypothermia was started within minutes of the injury. We know the earlier it's started, the better."

    Everett remains in intensive care and will be slowly taken off sedation and have his body temperature warmed over the next day, Green said. Doctors will also take the player off a respirator.

    Cappuccino said Monday that the 25-year-old did have touch sensation throughout his body, showed signs of voluntary movement and was able to breathe on his own before being sedated. But he cautioned that Everett's injury remained life-threatening because he was still susceptible to blood clots, infection and breathing failure.

    Green noted that Everett and Wilson have ties to Miami and the Miami Project -- Everett played there and Wilson is one of the project's largest donors.

    "It's an amazing group of circumstances. It's a home run. It's a touchdown," Green said.
  2. Eskimo

    Eskimo Well-Known Member

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    Spinal cord injuries are split into a few classifications but the most important ways of thinking of them from a functional point of view is the neurological level which represents the first level at which there is neurological deficiency. Based on my understanding of his anatomical level of injury which is C3-4 then fundamentally the level is going to be somewhere between C3 and C5 which means all muscles and sensation of all 4 limbs could be effected.

    The second means of classification is completeness of injury. The best time to determine this is at 72 hours post-injury which should be tomorrow. Based on a high level C-spine injury in which he is moving his arms and legs he is very likely what we would call motor incomplete which confers with it a very good chance of community mobility (defined as ability to walk 200 meters by any means - ie. braces, crutches, walker).

    A very good ability to predict eventual recovery is usually the 1 month mark at which point a lot of the variables involved in neurological recovery will have sorted themselves out.

    In my work with the spinal cord injured, I know this is a critical time to avoid any major medical complications which are common with high-level quadriplegics and can delay rehabilitation. Hopefully he sails through it without incident.

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