بررسي نتايج جراحي در بيماران با سندرم دم اسب بدنبال فتق ديسك بين مهره اي

Surgical evaluation of patients with Cauda Equina syndrome

Introduction: Cauda equina syndrome is one of the neurosurgical disorders and it must be handled urgently and seriously. The aim of this study is to evaluate surgical results and the relationship between timing of surgery and outcome in 87 patiens. Material and Methods: This is a descriptive retrospective study since 1987 to 2004. 87 patints with cauda equina syndrome were admitted in Qaem hospital. The evaluation of clinical and paraclinical signs and symptoms and surgical results were done. to assessment of outcome, the patients were divided to four grades: excellent, good , moderate and without change. Result: From 87 patients, 67 patients were male and 26 were female.the age of patients were 26 to 64 years, the more common level of disc herniation was L4- L5 (%39),less common L2- L3 (%9/1). The surgical result was excellent in %3719 and without changed in %8/1. Conclusian:Cauda equina syndrome is one of the emergent problems in neurosurgery and if operated in 48 hour of beginning of clinical symptoms, especially in patients with incomplete clinical findings, the surgical results are excellent.