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2005•Orthopedics & TraumatologyOpen access

A Case Report: Cauda Equina Syndrome as a Postoperative Complication of Lumbar Disc Herniation

Toshiyuki Okura, Naoya Tajima, Keisuke Goto, Junichi Higuchi, Atushi Inoue, Shinichiro Kubo, Hiroshi Kuroki, Etuo Chosa

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Abstract

We experienced a case of cauda equina syndrome as a postoperative complication of lumbar disc herniation. The patient was a 57-year-old man and suffered from left leg pain and lumbago. We diagnosed lumbar disc herniation at L4-5 and L5-6 and performed L4-5 and L5-L6 discectomy and posterolateral fusion. Three days after operation, he did not complain of leg pain and lumbago, but he experienced numbness in the perineum and urinary retention. We carried out emergency MR imaging study, but no compressive findings were demonstrated. The patient was expected to recover spontaneously, and numbness in the perineum and urinary retention were resolved three months postoperatively. Vascular insufficiency of the cauda equina was suspected.

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We experienced a case of cauda equina syndrome as a postoperative complication of lumbar disc herniation. The patient was a 57-year-old man and suffered from left leg pain and lumbago. We diagnosed lumbar disc herniation at L4-5 and L5-6 and performed L4-5 and L5-L6 discectomy and posterolateral fusion. Three days after operation, he did not complain of leg pain and lumbago, but he experienced numbness in the perineum and urinary retention. We carried out emergency MR imaging study, but no compressive findings were demonstrated. The patient was expected to recover spontaneously, and numbness in the perineum and urinary retention were resolved three months postoperatively. Vascular insufficiency of the cauda equina was suspected.

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Available abstract

We experienced a case of cauda equina syndrome as a postoperative complication of lumbar disc herniation. The patient was a 57-year-old man and suffered from left leg pain and lumbago. We diagnosed lumbar disc herniation at L4-5 and L5-6 and performed L4-5 and L5-L6 discectomy and posterolateral fusion. Three days after operation, he did not complain of leg pain and lumbago, but he experienced numbness in the perineum and urinary retention. We carried out emergency MR imaging study, but no compressive findings were demonstrated. The patient was expected to recover spontaneously, and numbness in the perineum and urinary retention were resolved three months postoperatively. Vascular insufficiency of the cauda equina was suspected.

Key concepts: Medicine, Cauda equina syndrome, Urinary retention, Cauda equina, Surgery, Perineum, Complication, Lumbar

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A Case Report: Cauda Equina Syndrome as a Postoperative Complication of Lumbar Disc Herniation — Research Paper | ScholarLens