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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Cauda equina syndrome: a comprehensive review.

Alex Gitelman1, Shuriz Hishmeh, Brian N Morelli

  • 1Department of Orthopaedic Surgery, Stony Brook University Medical Center, Stony Brook, New York, USA.

American Journal of Orthopedics (Belle Mead, N.J.)
|December 24, 2008
PubMed
Summary

Cauda equina syndrome (CES) is a rare condition caused by spinal cord compression, leading to severe symptoms like back pain and leg weakness. Prompt diagnosis and treatment are crucial as it is a surgical emergency.

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Published on: March 24, 2020

Area of Science:

  • Neurology
  • Neurosurgery
  • Spinal Medicine

Background:

  • Cauda equina syndrome (CES) is a rare but serious condition.
  • It results from compression of the cauda equina nerve roots in the lower spine.
  • CES presents with a constellation of symptoms including low back pain, sciatica, and altered sensation.

Purpose of the Study:

  • To provide a comprehensive review of Cauda equina syndrome.
  • To highlight critical information for understanding, diagnosing, and treating CES.
  • To emphasize the urgency of CES as a spinal surgical emergency.

Main Methods:

  • Literature review of Cauda equina syndrome.
  • Analysis of diagnostic criteria for CES.
  • Review of current treatment strategies for CES.

Main Results:

  • CES is associated with herniated lumbar discs in approximately 2% of cases.
  • Key symptoms include low back pain, sciatica, motor weakness, saddle anesthesia, and visceral dysfunction.
  • CES represents a critical spinal surgical emergency requiring timely intervention.

Conclusions:

  • Understanding the diverse symptoms of CES is vital for early recognition.
  • Accurate diagnosis is paramount due to the potential for permanent neurological deficits.
  • Prompt surgical decompression is essential for managing CES and improving patient outcomes.