CNN.com
Buffalo Bills tight end Kevin Everett, who suffered a spinal cord
injury during a tackle in a game on September 9, may show up at his
team's home game against the New York Giants this weekend. It will no
doubt be an inspirational moment for everyone. You will remember Kevin
originally arrived at the hospital paralyzed from the neck down. He
received very quick surgery by the Bills' doctors, orthopedic surgeon
Dr. Andrew Cappuccino and neurosurgeon Dr. Kevin Gibbons.
The
question many people may ask themselves is "Why did Mr. Everett recover
when so many others don't?" Some will say his spinal cord injury wasn't
as bad as originally thought. Others will say it had to do with a
controversial therapy, known as
Hypothermia, where the body and spinal
cord are chilled. Some will say it is a miracle.
No one could
argue that Everett's recovery is on track, and that's a good thing. But
as a neurosurgeon, I feel a wholesale endorsement of a highly
controversial - and in medical literature, largely unproven --
treatment (one that's potentially quite dangerous - it's linked to
everything from infection and cardiac arrhythmias to pneumonia and
organ failure) does warrant a little more discussion, which is why I am
blogging about it.
First off, the
Rehabilitation doctors at
Memorial Hermann TIRR stated in a press release that Kevin Everett
actually suffered from a
Central Cord Syndrome, as opposed to a
complete spinal cord injury. This is very important because we know the
vast majority of patients (97 percent) with central cord syndrome do
actually improve to the point of walking again (
click here for more information). So, Kevin already had the odds in his favor.
And here's what is incredibly striking. Kevin's improvement and recovery began
before
the hypothermia was ever started. Dr. Gibbons - who was right there,
treating Kevin alongside Dr. Cappuccino, and who had largely stayed out
of the limelight during Kevin's treatment -- had this to say in a yet
unpublished letter to the Editor of Sports Illustrated: "Kevin's
dramatic recovery of movement began before the placement of the
Catheter and before effective cooling."
So, why is this so
important? Well, because many people around the country who have
suffered a tragic injury to the spinal cord may point to hypothermia as
the key to recovery. That may offer false hope. As with most things, it
is not that easy. Of course, none of this really matters to Kevin, and
I will tune in to see him walk at the game. It will be a great moment.