What is the role of trauma in the etiology of cauda equina syndrome (CES)?

Updated: Jun 14, 2018
  • Author: Segun Toyin Dawodu, JD, MD, MS, MBA, LLM, FAAPMR, FAANEM; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Traumatic events leading to fracture or subluxation can lead to compression of the cauda equina. [16, 25, 26, 27, 28] Penetrating trauma can cause damage or compression of the cauda equina. Spinal manipulation resulting in subluxation has caused cauda equina syndrome. [29] Rare cases of sacral insufficiency fractures have been reported to cause cauda equina syndrome. [30] Acute and delayed presentations of CES due to hematomas and posttraumatic arachnoid cysts have also been reported. [31, 32, 33]


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