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Optimism on Kevin Everett spinal cord injury

| Source: iht.com

BUFFALO, New York: Two days after he was paralyzed during a game, and one day after doctors described his condition as potentially life-threatening, Buffalo Bills tight end Kevin Everett was moving his arms and legs.

The doctor who performed surgery on Everett, Andrew Cappuccino, said Everett’s condition had “improved.”

Another doctor, who has consulted with Cappuccino, said Tuesday that Everett could eventually walk out of the hospital.

“Kevin Everett is moving his arms and legs, his legs stronger than his arms,” said the consulting neurosurgeon, Dr. Barth Green. “He’s moving them both to a point, to a degree that he will end up walking. He will walk out of the hospital.”

On Monday afternoon, Cappuccino, an orthopedic spinal surgeon, described Everett’s chances of a complete recovery as “unlikely” and in the range of 5 to 10 percent.

The next day, however, Green said he had spoken to Cappuccino and described him as “elated.”

“I think he’s walking on clouds right now,” Green said. “Any physician would be.

“What he told you yesterday is the case 99 percent of the time. That is that people who are paralyzed stay paralyzed.”

On Monday, team doctors said Everett, a 25-year-old backup tight end, was paralyzed from the shoulders down and in life-threatening condition after a collision Sunday during a 15-14 loss to the Denver Broncos.

Everett was injured on the second-half kickoff while attempting what appeared to be a routine tackle of Domenik Hixon. But after striking his helmet on Hixon’s shoulder pads, Everett immediately collapsed. He lay motionless for about 15 minutes.

The Bills’ team physician, Dr. John Marzo, described Everett as conscious and alert on the field but unable to move his extremities. Everett was immobilized using a back board and taken by ambulance to the hospital.

During the ride, Cappuccino began lowering Everett’s body temperature to protect his brain, spinal cord and other organs.

At the hospital, Cappuccino operated for four hours Sunday night to repair damage to Everett’s third and fourth Cervical Vertebrae and spinal cord. Cappuccino said that Everett had suffered direct compression of his spinal cord between the C-3 and C-4 vertebrae, but that the spinal cord was not snapped.

Reached by phone Tuesday night, Cappuccino said he was not permitted by the Bills to comment further.

Green is chairman of neurosurgery at the University of Miami. He is also president of The Miami Project to Cure Paralysis, a foundation he started with the NFL Hall of Fame linebacker Nick Buoniconti, after Buoniconti’s son Marc had a spinal cord injury in 1985 while playing football for The Citadel, a college in South Carolina.

Green is also friends with the Bills’ owner, Ralph Wilson, who has helped support The Miami Project.

Green said the fact that Cappuccino lowered Everett’s temperature to 92 degrees Fahrenheit (33.3 Celsius) immediately after the injury made a difference in his recovery.

The procedure is called moderate Hypothermia.

“It’s like a bruising of an arm, an ice pack will help,” Green said. “The vascular system was the ice pack for Everett’s spinal cord.”

Dr. Joseph Torg, professor of orthopedics at Temple University in Philadelphia, said Tuesday that it was difficult to make generalizations with spinal cord injuries.

“You want to see improvement in the first 24 to 72 hours if the individual will have a normal recovery,” Torg said. “Every case is unique. You can’t close any doors any way this early.

“The fact he has some spinal cord function is extremely optimistic.”

Players for the Bills were unavailable for comment.

“It’s a dangerous game, and yesterday we saw that and it came right to us,” Coach Dick Jauron of the Bills said Monday. “It was right in front of us. It was one of our teammates down on the field.”

By Matt Higgins
The International Herald Tribune

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