Urgent operation improves weakness in cauda equina syndrome due to lumbar disc herniation

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dc.contributor.authorUçkun, Özhan M.
dc.contributor.authorAlagöz, Fatih
dc.contributor.authorPolat, Ömer
dc.contributor.authorDivanlıoğlu, Denizhan
dc.contributor.authorDağlıoğlu, Ergün
dc.contributor.authorBelen, A. Deniz
dc.contributor.authorDalgıç, Ali
dc.date.accessioned2020-04-30T23:46:51Z
dc.date.available2020-04-30T23:46:51Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000499639000003en_US
dc.descriptionPubMed: 31663070en_US
dc.description.abstractObjectives: This study aims to examine the effect of surgical timing on the sphincter function and improvement of motor function in patients with cauda equine syndrome (CES) due to lumbar disc herniation (LDH). Patients and methods: Between January 2005 and December 2013, a total of 33 patients (18 males, 15 females; mean age 48.6 +/- 2.2 years, range, 24 to 73 years) who underwent lumbar spinal surgery and were diagnosed with CES due to LDH were retrospectively analyzed. Data including demographics, muscle weakness, sensory deficit, sphincter control, LDH level, time from the initiation of symptoms to admission, and time to surgery were documented. The latest muscle weakness, sensory deficits, and sphincter control were also recorded. The patients were divided into two groups according to the rate of muscle strength improvement and data including age, sex, and operation time were compared. Results: The weakness remained unchanged in 11 (33.3%), improved in 13 (39.4%), and returned to normal in nine (27.3%) patients. Sphincter control resolved in five patients. Sensory loss resolved in two patients. While admission duration was shorter in the group with improved muscle strength (p=0.02), there was no significant difference in the time to surgery (p=0.63). Logistic regression analyses revealed that only the admission within 0 to 24 hours was significant for the muscle strength improvement (regression coeeficient [B]=2.83, standard error [SE]=0.86, p=0.006). Conclusion: A significant improvement in the motor strength can be achieved in patients with CES who are operated within 24 hours. On the other hand, patients with CES should be received surgery immediately when first seen, regardless of the time, since the muscle strength is slightly improved.en_US
dc.identifier.doi10.5606/tftrd.2019.3169en_US
dc.identifier.endpage227en_US
dc.identifier.issn2587-0823
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage222en_US
dc.identifier.urihttps://doi.org/10.5606/tftrd.2019.3169
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5316
dc.identifier.volume65en_US
dc.identifier.wosWOS:000499639000003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurkish Journal Of Physical Medicine And Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCauda equina syndromeen_US
dc.subjectlumbar disc herniationen_US
dc.subjectmuscle strength spinal columnen_US
dc.titleUrgent operation improves weakness in cauda equina syndrome due to lumbar disc herniationen_US
dc.typeArticleen_US

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