caa a22 4500 445832339 CHVBK 20180317145319.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00586-011-1840-4 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1840-4 Outcome of spinal decompression in cauda equina syndrome presenting late in developing countries: case series of 50 cases [Elektronische Daten] [Sarvdeep Dhatt, Naveen Tahasildar, Sujit Tripathy, Raj Bahadur, Mandeep Dhillon] The purpose of this study is to find the clinical outcome of decompression of Cauda Equina presenting late in the course of disease. There were 33 males and 17 females with average age of 48years, ranging from 25 to 85years. All patients presented to us with a fully developed Cauda Equina syndrome (CES). All of them presented late with mean delay of 12.2days. Time interval between bladder and bowel dysfunction and admission to hospital varied from 1to35days. The average follow-up was 34.5months, ranging from 12 to 60months. There was no statistically significant difference in time of delay in surgery between the recovered and non-recovered group as tested by Student's t test. But there was a statistically significant positive correlation between duration taken for total recovery and delay in surgery. Anal wink as a predictor of bladder and bowel recovery also showed statistical significance, as patients with an absence had a poorer prognosis for bladder recovery. The result of surgery in CES is not as dramatic and fast as seen after routine disc surgery. Some improvement can be expected with decompression even in those patients presenting late and results are not universally poor as previously thought. The treating physicians of such patients should be aware that the recovery in this group of patients can take an exceptionally long time and hence should involve in constant reassurance and rehabilitation of the patient. Presence of anal wink is a very good predictor of bladder and bowel recovery. Springer-Verlag, 2011 Cauda Equina nationallicence Disc prolapse nationallicence Delayed presentation nationallicence Developing countries nationallicence Anal wink nationallicence Dhatt Sarvdeep Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut Tahasildar Naveen Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut Tripathy Sujit Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut Bahadur Raj Department of Orthopaedics, Government Medical College, Chandigarh, India aut Dhillon Mandeep Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut European Spine Journal Springer-Verlag 20/12(2011-12-01), 2235-2239 0940-6719 20:12<2235 2011 20 586 https://doi.org/10.1007/s00586-011-1840-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1840-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dhatt Sarvdeep Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Tahasildar Naveen Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Tripathy Sujit Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut NATIONALLICENCE 700 1- Bahadur Raj Department of Orthopaedics, Government Medical College, Chandigarh, India aut NATIONALLICENCE 700 1- Dhillon Mandeep Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector-12, 160012, Chandigarh, India aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/12(2011-12-01), 2235-2239 0940-6719 20:12<2235 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer