CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT

S A Hussain; F Lam; R Selway; R W Gullan

doi:10.1302/0301-620X.85BSUPP_II.0850100b

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CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT

S A Hussain
F Lam
R Selway
R W Gullan

CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT

Hussain SA, Lam F, Selway R, Gullan RW. CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT. Orthop Procs. 2003;85-B(SUPP_II):100-100. doi:10.1302/0301-620X.85BSUPP_II.0850100b

Hussain, S A, et al. “CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT.” Orthopaedic Proceedings, vol. 85-B, no. SUPP_II, 2003, pp. 100-100., https://doi.org/10.1302/0301-620X.85BSUPP_II.0850100b

Hussain, S. A., Lam, F., Selway, R., & Gullan, R. W. (2003). CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT. Orthopaedic Proceedings, 85-B(SUPP_II), 100-100. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850100b

Hussain, S. A., Lam, F., Selway, R. and Gullan, R. W. (2003) “CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT.” Orthopaedic Proceedings, 85-B(SUPP_II), pp. 100-100. Available at: https://doi.org/10.1302/0301-620X.85BSUPP_II.0850100b

Hussain, S A, F Lam, R Selway, and R W Gullan. “CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT.” Orthopaedic Proceedings 85-B, no. SUPP_II (2003): 100-100. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850100b

Hussain SA, Lam F, Selway R, Gullan RW. CAUDA EQUINA SYNDROME: OUTCOME AND IMPLICATIONS FOR MANAGEMENT. Orthop Procs. 2003 Feb 1;85-B(SUPP_II):100-100. https://doi.org/10.1302/0301-620X.85BSUPP_II.0850100b

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Abstract

Cauda equina syndrome (CES) due to central disc prolapse produces acute neurological deficit. We investigated long-term urological disability after surgery for CES and the impact of emergency versus next day surgery.

20 CES patients (M=F), were assessed using a validated quality of life questionnaire; comparison was made with a matched group undergoing simple lumbar disc surgery. Median length of history before presentation was seven days. Nine were operated on within 4. 5 hours, the remainder all within 24 hours after neurosurgical admission. While the patients’ perception was of good general health (no different from controls), urological symptoms adversely affected their lives (P=0. 02). Only two patients had no urological symptoms. Emergency surgery (within 4. 5 hours of presentation) was not associated with reduced disability.

The abstracts were prepared by Mr Simon Donell. Correspondence should be addressed to him at the Department of Orthopaedics, Norfolk & Norwich Hospital, Level 4, Centre Block, Colney Lane, Norwich NR4 7UY, United Kingdom