The Impact of Physiotherapy Rehabilitation on Functional Recovery in Postoperative Paraplegia Following L2-L3 Laminectomy With Discectomy: A Case Report

Postoperative paraplegia is a severe neurological complication that significantly affects functional mobility and quality of life. This case report describes the rehabilitation course of a 72-year-old male who was diagnosed with paraplegia following an L2-L3 laminectomy and discectomy. The patient presented with a lack of movement in both lower limbs, bilateral foot drop, altered sensation over the left sole, and a reduced range of motion following surgery. An individualized physiotherapy rehabilitation program was designed after a detailed assessment and goal-setting. Rehabilitation primarily focused on bed mobility training, sensory re-education, range of motion exercises, strengthening exercises, and functional training. Additional interventions were aimed at preventing secondary complications and improving overall functional independence. Progress was regularly monitored throughout the rehabilitation period. Following four weeks of rehabilitation, gradual improvements were observed in lower limb muscle activation, bed mobility, sitting balance, and functional mobility. The patient also demonstrated improvements in overall physical condition and independence in daily activities. This case report highlights the importance of early and structured physiotherapy rehabilitation in promoting functional recovery and improving quality of life in patients with postoperative paraplegia. Further documentation of similar cases may help develop effective rehabilitation strategies for neurological recovery following spinal surgery.