Cauda equina in the setting of thoracolumbar trauma: Is early decompression indicated?

Brian C. Werner, Scott Yang, Francis H. Shen, Adam L. Shimer

Research output: Contribution to journalArticle

Abstract

Traumatic injuries to the thoracolumbar spine are common and can be associated with a neurologic deficit. Complete cord level injury and progressive neurologic compromise have established treatment algorithms. The management of traumatic thoracolumbar spine injuries with incomplete neurologic deficits, such as cauda equina and conus medullaris syndrome, is challenging and often controversial. Published animal models and clinical data, largely retrospective, provide conflicting information as to the necessity of surgical intervention and the timing of such surgical intervention in these patients. There is a clear need for quality prospective human data to conclusively resolve the issue of timing of surgery in patients with traumatic cauda equina and conus medullaris injury.

Original languageEnglish (US)
Pages (from-to)226-234
Number of pages9
JournalSeminars in Spine Surgery
Volume24
Issue number4
DOIs
StatePublished - Dec 1 2012

Keywords

  • Spine
  • Surgery
  • Thoracolumbar
  • Timing
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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