caa a22 4500 445833289 CHVBK 20180317145322.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00586-011-1745-2 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1745-2 Cauda equina syndrome and spine manipulation: case report and review of the literature [Elektronische Daten] [Francesco Tamburrelli, Maurizio Genitiempo, Carlo Logroscino] Cauda equina syndrome seems to be a very rare complication of spinal manipulations. Only few cases, in fact, were referred in literature in the past decades. Most of them are very old and poorly documented evoking doubts about the pathogenetic relationship between the spinal maneuvers and the onset of the syndrome. We observed and treated a 42-year-old patient who complained a rapid onset of saddle hypoparesthesia and urine retention only a few hours after the spinal manipulation performed for L5-S1 herniated disc. The comparison of the two following MRIs performed before and after the manipulations seems to prove a close pathogenetic relationship. The patient was operated soon after the admission to our emergency department and 1year later he referred an incomplete recovery of the syndrome. The case offered the opportunity to update the literature. The review revealed only three cases from the beginning of the current century that confirm the rarity of the syndrome. Based on the data emerging from the official literature, safety of the manipulations and its pathogenetic aspects in causing lumbar radiculopathies are discussed. Springer-Verlag, 2011 Cauda equina syndrome nationallicence Spinal manipulations nationallicence Herniated disc disease nationallicence Tamburrelli Francesco Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut Genitiempo Maurizio Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut Logroscino Carlo Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut European Spine Journal Springer-Verlag 20(2011-05-01), 128-131 0940-6719 20<128 2011 20 586 https://doi.org/10.1007/s00586-011-1745-2 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1745-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tamburrelli Francesco Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut NATIONALLICENCE 700 1- Genitiempo Maurizio Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut NATIONALLICENCE 700 1- Logroscino Carlo Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Largo A. Gemelli, 8, 00135, Rome, Italy aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-05-01), 128-131 0940-6719 20<128 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer