World journal of clinical cases · 2025
Cauda equina syndrome with urinary retention as a postoperative complication of lumbar spine surgery: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Yang Kai-Wu, Lai Wei-Hong, Huang Da-Wei
Аннотация
BACKGROUND: Cauda equina syndrome (CES) is characterized by a group of symptoms that may be caused by inflammation, spinal cord compression, venous congestion, or ischemia. This syndrome is commonly an indication for surgical intervention but has not been determined as a postoperative complication following surgery for lumbar spine disease.
CASE SUMMARY: To report the case of a 54-year-old male patient who had CES following spinal surgery, with no obvious compression lesions found during re-exploration, suggesting that vascular insufficiency may have contributed to the condition. Furthermore, a series of urodynamic studies on bladder recovery patterns in such complications have also been investigated.
CONCLUSION: Postoperative CES requires urgent imaging and exploration to rule out compression; noncompressive cases, including vascular insufficiency may performed conservative management.
CASE SUMMARY: To report the case of a 54-year-old male patient who had CES following spinal surgery, with no obvious compression lesions found during re-exploration, suggesting that vascular insufficiency may have contributed to the condition. Furthermore, a series of urodynamic studies on bladder recovery patterns in such complications have also been investigated.
CONCLUSION: Postoperative CES requires urgent imaging and exploration to rule out compression; noncompressive cases, including vascular insufficiency may performed conservative management.