| Cauda equina syndrome and spine manipulation: case report and review of the literature. | |
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MedLine Citation:
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PMID: 21404036 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 1 year 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. |
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Authors:
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Francesco Ciro Tamburrelli; Maurizio Genitiempo; Carlo Ambrogio Logroscino |
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Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2011-03-15 |
Journal Detail:
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Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: 20 Suppl 1 ISSN: 1432-0932 ISO Abbreviation: Eur Spine J Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-04 Completed Date: 2011-08-05 Revised Date: 2012-05-01 |
Medline Journal Info:
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Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: Germany |
Other Details:
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Languages: eng Pagination: S128-31 Citation Subset: IM |
Affiliation:
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Department of Spine Surgery, Università Cattolica S. Cuore, Roma, Italy. francesco.tamburrelli@rm.unicatt.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Humans Intervertebral Disc Displacement / therapy* Magnetic Resonance Imaging Male Manipulation, Spinal / adverse effects* Polyradiculopathy / etiology*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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