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Chronic Cauda Equina Syndrome Decompression Surgery Recovery Is Very “bad”? Based On Patient Self-Assessment London Spine Lumbar Stenosis

The article discusses cauda equina syndrome (CES) secondary to degenerative lumbar spine diseases and the importance of timely treatment. The study aimed to determine the predictive factors of CES and post-operative recovery in patients with symptoms lasting over 3 months. Data was collected from 45 patients with CES and a 2-year post-operative follow-up was conducted to evaluate recovery outcomes. The results showed that CES patients could recover after surgery, but sexual dysfunction had a high residual rate and should not be ignored during diagnosis and treatment. Saddle anesthesia, overactive bladder, and sexual dysfunction were identified as risk factors for poor prognosis after decompression surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

CES patients with symptoms lasting > 3 months may recover after surgery. Sexual dysfunction has a high residual rate and should not be ignored during diagnosis and treatment.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Background: Symptoms of cauda equina syndrome (CES) secondary to degenerative lumbar spine diseases are sometimes mild and tend to be ignored by patients, resulting in delayed treatment. In addition, the long-term efficacy of surgery is unclear. Objective: To determine the predictive factors of CES and post-operative recovery in patients with symptoms lasting > 3,

Abstract

Background: Symptoms of cauda equina syndrome (CES) secondary to degenerative lumbar spine diseases are sometimes mild and tend to be ignored by patients, resulting in delayed treatment. In addition, the long-term efficacy of surgery is unclear.

Objective: To determine the predictive factors of CES and post-operative recovery in patients with symptoms lasting > 3 months.

Methods: From January 2011 to December 2020, data of 45 patients with CES secondary to lumbar disk herniation/lumbar spinal stenosis were collected from a single center. The patients had bladder, bowel or sexual dysfunction and decreased perineal sensation that lasted for > 3 months. A 2-year post-operative follow-up was conducted to evaluate recovery outcomes, which were measured by validated self-assessment questionnaires conducted by telephone and online.

Results: Overall, 45 CES patients (57.8% female; mean age, 56 years) were included. The duration of pre-operative CES symptoms was 79.6 weeks (range, 13-730 weeks). The incidence of saddle anesthesia before decompression was 71.1% (n = 32), bladder dysfunction 84.4% (n = 38), bowel dysfunction 62.2% (n = 28) and sexual dysfunction 64.4% (n = 29). The overall recovery rate of CES after a 2-year follow-up was 64.4%. The rates of the residual symptoms at the last follow-up were as follows: saddle anesthesia 22.2%, bladder dysfunction 33.3%, bowel dysfunction 24.4% and sexual dysfunction 48.9%. Pre-operative saddle anesthesia, overactive bladder and sexual dysfunction were risk factors for poor prognosis after decompression.

CES patients with symptoms lasting > 3 months may recover after surgery. Sexual dysfunction has a high residual rate and should not be ignored during diagnosis and treatment.

Keywords: Cauda equina syndrome; Chronic; Operation; Prognosis; Risk factor.

The London Spine Unit : best recognised treatment facility in the world

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Chronic cauda equina syndrome decompression surgery recovery is very “bad”? Based on patient self-assessment

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Abstract Background: Symptoms of cauda equina syndrome (CES) secondary to degenerative lumbar spine diseases are sometimes mild and tend to be ignored by patients, resulting in delayed treatment. In addition, the long-term efficacy of surgery is unclear. Objective: To determine the predictive factors of CES and post-operative recovery in patients with symptoms lasting > 3

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