Are there any risk factors associated with the presence of cauda equina syndrome in symptomatic lumbar disk herniation?

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10412369" target="_blank" >RIV/00216208:11110/20:10412369 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/61383082:_____/20:00000709 RIV/00216208:11120/20:43920208 RIV/00064211:_____/20:W0000014 RIV/00064173:_____/20:N0000136

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=KnrA4jXgd8" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=KnrA4jXgd8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.wneu.2020.05.260" target="_blank" >10.1016/j.wneu.2020.05.260</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Are there any risk factors associated with the presence of cauda equina syndrome in symptomatic lumbar disk herniation?

Popis výsledku v původním jazyce

Objective: Risk factors for developing cauda equina syndrome (CES) caused by lumbar disk herniation (LDH) remain controversial and have not been established yet. The aim of the study was to investigate whether there is a relationship among age, sex, body mass index (BMI), or the degree of spinal canal compromise and the presence of CES in patients undergoing lumbar microdiskectomy. Methods: Between 2015 and 2019, 506 patients who had an operation for LDH compressing the dural sac were prospectively identified. The &quot;prolapse-to-canal ratio&quot; (PCR) was calculated as a proportion of the cross-sectional area of the disk prolapse compared with the total cross-sectional area of the spinal canal. Results: In total, 35 CES (6.9%) patients were identified. Multivariate logistic regression, adjusted for age, gender, BMI, and PCR, shows that only PCR was associated with the presence of CES (P &lt; 0.001, area under the curve 0.7431). BMI was not associated with an increased risk of CES. Conclusions: This study demonstrates a significant correlation between the size of LDH relative to size of the spinal canal and the presence of CES. A finding of LDH causing &gt;60% obstruction of the spinal canal should be considered a red flag, and such patients need to be watched more closely.

Název v anglickém jazyce

Are there any risk factors associated with the presence of cauda equina syndrome in symptomatic lumbar disk herniation?

Popis výsledku anglicky

Objective: Risk factors for developing cauda equina syndrome (CES) caused by lumbar disk herniation (LDH) remain controversial and have not been established yet. The aim of the study was to investigate whether there is a relationship among age, sex, body mass index (BMI), or the degree of spinal canal compromise and the presence of CES in patients undergoing lumbar microdiskectomy. Methods: Between 2015 and 2019, 506 patients who had an operation for LDH compressing the dural sac were prospectively identified. The &quot;prolapse-to-canal ratio&quot; (PCR) was calculated as a proportion of the cross-sectional area of the disk prolapse compared with the total cross-sectional area of the spinal canal. Results: In total, 35 CES (6.9%) patients were identified. Multivariate logistic regression, adjusted for age, gender, BMI, and PCR, shows that only PCR was associated with the presence of CES (P &lt; 0.001, area under the curve 0.7431). BMI was not associated with an increased risk of CES. Conclusions: This study demonstrates a significant correlation between the size of LDH relative to size of the spinal canal and the presence of CES. A finding of LDH causing &gt;60% obstruction of the spinal canal should be considered a red flag, and such patients need to be watched more closely.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

World Neurosurgery

ISSN

1878-8750

e-ISSN

—

Svazek periodika

141

Číslo periodika v rámci svazku

September

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

"e600"-"e605"

Kód UT WoS článku

000567672600025

EID výsledku v databázi Scopus

2-s2.0-85087875146