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 2012

Fingerprint

Cauda Equina
Decompression
Wounds and Injuries
Neurologic Manifestations
Spine
Spinal Cord Compression
Nervous System
Spinal Cord
Animal Models
Therapeutics

Keywords

  • Spine
  • Surgery
  • Thoracolumbar
  • Timing
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Cauda equina in the setting of thoracolumbar trauma : Is early decompression indicated? / Werner, Brian C.; Yang, Scott; Shen, Francis H.; Shimer, Adam L.

In: Seminars in Spine Surgery, Vol. 24, No. 4, 12.2012, p. 226-234.

Research output: Contribution to journalArticle

Werner, Brian C. ; Yang, Scott ; Shen, Francis H. ; Shimer, Adam L. / Cauda equina in the setting of thoracolumbar trauma : Is early decompression indicated?. In: Seminars in Spine Surgery. 2012 ; Vol. 24, No. 4. pp. 226-234.
@article{f5913ae55f1a40fd8ce06e6be78ae83c,
title = "Cauda equina in the setting of thoracolumbar trauma: Is early decompression indicated?",
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.",
keywords = "Spine, Surgery, Thoracolumbar, Timing, Trauma",
author = "Werner, {Brian C.} and Scott Yang and Shen, {Francis H.} and Shimer, {Adam L.}",
year = "2012",
month = "12",
doi = "10.1053/j.semss.2012.05.005",
language = "English (US)",
volume = "24",
pages = "226--234",
journal = "Seminars in Spine Surgery",
issn = "1040-7383",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - Cauda equina in the setting of thoracolumbar trauma

T2 - Is early decompression indicated?

AU - Werner, Brian C.

AU - Yang, Scott

AU - Shen, Francis H.

AU - Shimer, Adam L.

PY - 2012/12

Y1 - 2012/12

N2 - 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.

AB - 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.

KW - Spine

KW - Surgery

KW - Thoracolumbar

KW - Timing

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=84869877599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84869877599&partnerID=8YFLogxK

U2 - 10.1053/j.semss.2012.05.005

DO - 10.1053/j.semss.2012.05.005

M3 - Article

AN - SCOPUS:84869877599

VL - 24

SP - 226

EP - 234

JO - Seminars in Spine Surgery

JF - Seminars in Spine Surgery

SN - 1040-7383

IS - 4

ER -