Cauda Equina Syndrome

Orthop Clin North Am. 2022 Apr;53(2):247-254. doi: 10.1016/j.ocl.2021.11.010. Epub 2022 Mar 8.

Abstract

Cauda equina syndrome (CES) involves compression of some or all of the lumbar and sacral peripheral nerve roots. However, there is a lack of consensus in the literature regarding the exact diagnosis criteria in this patient population. Much of the pathophysiology has been studied regarding the onset of this condition; however, the long-term effects are not able to be accurately predicted at this time. Recent literature has associated timing to surgical decompression, severity of symptoms at time of onset, and involvement of bladder dysfunction as prognostic indicators of CES.

Keywords: Cauda equina syndrome; Decompression; MRI scanning; Saddle anesthesia; Time to surgery; Urinary retention.

Publication types

  • Review

MeSH terms

  • Cauda Equina Syndrome* / diagnosis
  • Cauda Equina Syndrome* / etiology
  • Cauda Equina Syndrome* / surgery
  • Cauda Equina* / surgery
  • Decompression, Surgical
  • Humans
  • Polyradiculopathy* / diagnosis
  • Polyradiculopathy* / etiology
  • Polyradiculopathy* / surgery
  • Prognosis