[Acute myelopathy and cauda equina syndrome]

The high incidence of non-specific, benign back trouble often delays the diagnosis of specific causes of back pain and thus result in neurological deficits. Degenerative abnormalities in the cervical spine may narrow the spinal canal and result in acute myelopathy subsequent to minor injuries. Large cervical or lumbar disc herniations causing myelon, conus or cauda equina compression are rare but must not be overlooked. Spinal metastases may remain unrecognised for a long period and lead to the correct diagnosis only after presentation with neurological deficits. Acute myelopathy or cauda equina syndrome are indications for immediate diagnostic assessment and treatment in a spine centre.