Zeitschrift für Wirbelsäule

Novel Surgical Technique for Discogenic Cauda Equina Syndrome - Transforaminal Intra Discal Access by Annulotomy outside Central Spinal Canal

Abstract

Sreedharan Namboothiri PE, Satishchandra Gore and Poorana Raja

Cauda equina syndrome is characterised by disturbed function of multiple sacral and lumbar nerve roots in the lumbar vertebral canal resulting in impairment of bladder, bowel, or sexual function. Since the sacral roots are more at midline in lumbar dural sac a central disc herniation of large size can be a cause. The large central herniation causing cauda equina syndrome stretches the roots. Best results are obtained by decompression.