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Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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SPHINCTER INVOLVEMENT IN LUMBAR DISC HERNIATION.

Prakash Singh1, V K Batish2, Sarv Sarup3

  • 1Classified Specialist (Neurosurgery), Command Hospital (NC), C/O 56 APO.

Medical Journal, Armed Forces India
|August 10, 2017
PubMed
Summary
This summary is machine-generated.

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Cauda equina syndrome from prolapsed lumbar disc surgery outcomes were analyzed. Early surgery improved outcomes, but delayed treatment, especially with sphincter dysfunction, led to poorer results in many patients.

Area of Science:

  • Neurosurgery
  • Orthopedics
  • Spinal Surgery

Background:

  • Cauda equina syndrome (CES) is a surgical emergency often caused by lumbar disc herniation.
  • Delayed diagnosis and treatment of CES can lead to permanent neurological deficits, including sphincter dysfunction.

Purpose of the Study:

  • To evaluate the surgical outcomes of patients with prolapsed lumbar disc causing cauda equina syndrome.
  • To identify factors influencing recovery, particularly sphincter function, after surgical decompression.

Main Methods:

  • Retrospective analysis of 30 surgically treated patients with prolapsed lumbar disc and CES.
  • Data collected included patient demographics, symptom onset, duration before surgery, investigation findings, and surgical approach.
  • Patient outcomes were assessed at 1-year follow-up, focusing on neurological recovery and sphincter function.
Keywords:
Lumbar disc herniationSphincter dysfunction

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Main Results:

  • The L4/5 disc level was the most common herniation site.
  • Urinary retention was the most frequent sphincter dysfunction.
  • At 1-year follow-up, 12 patients had full recovery, 7 had partial recovery, and 11 showed no significant improvement in sphincter function.

Conclusions:

  • Surgical decompression for lumbar disc-related CES is crucial.
  • Timely intervention is critical for favorable outcomes, especially for preserving sphincter function.
  • A significant proportion of patients may experience persistent deficits despite surgical treatment, highlighting the importance of early management.