2014
DOI: 10.1016/j.wneu.2013.11.007
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Timing of Surgical Intervention in Cauda Equina Syndrome: A Systematic Critical Review

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Cited by 91 publications
(59 citation statements)
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“…It is unlikely that cultural factors could be contributing to the disparities noted. There are significant medico-legal consequences associated with delayed intervention or missed diagnosis of cauda equina syndrome [40][41][42][43]. Similar to compartment syndrome, an orthopedic emergency, the sequalae of CES are irreversible (although there are some instances where recovery can occur).…”
Section: Discussionmentioning
confidence: 99%
“…It is unlikely that cultural factors could be contributing to the disparities noted. There are significant medico-legal consequences associated with delayed intervention or missed diagnosis of cauda equina syndrome [40][41][42][43]. Similar to compartment syndrome, an orthopedic emergency, the sequalae of CES are irreversible (although there are some instances where recovery can occur).…”
Section: Discussionmentioning
confidence: 99%
“…In their own analyses, Al-Khawaja et al found that approximately 60% of patients experienced full recovery following surgery for lumbar SEL whereas only 15-20% of patients experienced full recovery following surgery for thoracic SEL [42]. Chau et al state that the level of neurological disease is likely the most significant prognostic factor in cauda equina syndrome [47]. With that said, due to a paucity of studies there is currently no evidence which can predict a level-by-level prognosis in thoracic myelopathy [48].…”
Section: Discussionmentioning
confidence: 99%
“…Choudhury and Taylor reported that 40 patients all showed improvement to varying extents during a follow-up of 2 to 20 years [3]. Also, the acknowledgment that cauda equina lesions tend to deteriorate in a continuous rather than a stepwise manner is the general consensus among spine surgeons [2]. Therefore, we think that the decompression surgery will give the woman an opportunity to obtain better improvement, or at least avoid an even worse result.…”
Section: Dear Editormentioning
confidence: 94%
“…Based on our experience and the results of previous reports discussing the time to surgical intervention in cauda equina syndrome, early surgery is beneficial in improving neurological outcomes. A systematic critical review [2] found that both early and delayed surgery may result in improved neurological outcomes. However, there was no strong evidence base to support 48 h being the critical time point for the surgery.…”
Section: Dear Editormentioning
confidence: 99%