The clinical study of repairing cauda equina fibres with fibrin glue after lumbar fracture and dislocation.

STUDY

DESIGN

A retrospective study.

OBJECTIVES

To study the outcome of repair of cauda equina fibres with fibrin glue after lumbar fracture and/or dislocation.

METHODS

Seven acute cases and one chronic case of L2 or L3 fracture and/or dislocation complicated with complete cauda equina injury were selected. Sural nerve or ventral roots of injured cauda equina were chosen to repair the motor cauda equina fibres with fibrin glue after open reduction and internal fixation of the unstable vertebrae. The functional recovery after surgery was observed.

RESULTS

Recovery of the strength of thigh muscles (iliopsoas, quadriceps femoris, gluteus maximus, adductors) was observed in all seven acutely injured patients (t=3.74, P<0.05), but not in the chronic one. Neither recovery of leg muscles nor sensation of the lower extremities was observed in any case.

CONCLUSIONS

The cauda equina ventral roots injured after lumbar fracture and/or dislocation can be repaired with fibrin glue and motor recovery is expected.