Traumatic spinal cord injury (SCI) is a major cause of severe and permanent disability in young adults. Overweight and obesity are commonly observed among patients affected with SCI, with reports of a prevalence of over 60 and 30% respectively. Case report: A 34 year-old woman suffering from tetraplegia after sustaining a traumatic injury to C5-C6 at age 23 as a result of a motor vehicle accident was presented to our hospital’s multidisciplinary bariatric team due to class II obesity. At the time of presentation to the team, eleven years after the accident, her BMI was calculated to be 39 Kg/m² (weight 97 kg, height 1.57 meters). She was diagnosed with infertility while seeking pregnancy, and referred to our bariatric unit for weight loss. In addition, she had overcome the physical limitations of her injury, had a regular job and was engaged in regular physical activities such as swimming. In May 2017, she underwent laparoscopic sleeve gastrectomy (LSG) without complications and was discharged on postoperative day 2. 17 months following LSG, with a normal BMI, she became naturally pregnant. She had emergency cesarean at 35 weeks due to pneumonia but both patient and child recovered without sequelae. Currently, 4 years after surgery she maintains 37.11% total weight loss (weight 61 kg). She reports having a better quality of life with fewer medical intercurrencies. Conclusions: Patients with SCI and obesity, particularly women seeking to conceive, may be benefited by being referred to bariatric teams for assessment and treatment to improve results associated with sustained weight reduction.

创伤性脊髓损伤（SCI）是年轻人严重和永久性残疾的主要原因。超重和肥胖在 SCI 患者中很常见，据报告患病率分别超过 60% 和 30%。病例报告：一名34岁女性，23岁时因车祸造成C5-C6创伤性损伤，导致四肢瘫痪，因II级肥胖到我院多学科减肥团队就诊。在事故发生 11 年后向团队介绍时，她的 BMI 经计算为 39 Kg/m ²（体重 97 公斤，身高 1.57 米）。她在寻求怀孕时被诊断出不孕，并转诊至我们的减肥科进行减肥。此外，她已经克服了受伤带来的身体限制，有一份正常的工作，并定期进行游泳等体育活动。2017 年 5 月，她接受了腹腔镜袖状胃切除术 (LSG)，无并发症，并于术后第 2 天出院。LSG 术后 17 个月，体重指数正常，她自然怀孕。35周时，她因肺炎接受了紧急剖腹产，但患者和孩子都康复了，没有留下后遗症。目前，手术 4 年后，她的总体体重减轻了 37.11%（体重 61 公斤）。她报告说，她的生活质量提高了，医疗问题也减少了。结论：患有 SCI 和肥胖症的患者，尤其是寻求怀孕的女性，可能会因被转介至肥胖治疗团队进行评估和治疗而受益，以改善与持续体重减轻相关的结果。