What are the common causes of cauda equina syndrome? What are the common causes of cauda equina synd

The duration of cauda equina nerve injury generally depends on the individual's situation, and the best recovery lies in early detection and **. Recovery is divided into complete recovery and incomplete recovery, depending on the severity of the disease and the history of the disease.

For the nerve**, we must have a full understanding, that is, his time is relatively long, and it varies from person to person. We have to use it continuously, through the improvement of this means, to have confidence, it is possible to slowly **. Secondly, all exercise should be moderate, many people have a misunderstanding that I can't hold on to a certain degree every time I exercise, and then insist on insisting on it may break through, this kind of thinking is very irrational for our patients' ** training, when the amount of exercise exceeds the range of the body, the body function can not keep up with the will only lose more energy and aggravate the severity of the body's symptoms, so it is recommended to exercise reasonably, step by step is the key!

1.Neuropathic pain, 2Bowel and bowel problems, 3Sexual dysfunction, 4Perceptual sensory changes, 5Affective disorders.

Most of them are due to the compression of the nerve by a huge herniated lumbar disc, and some of them are accidents, resulting in a burst fracture of the lumbar spine that directly damages the nerve.

**A series of neurological dysfunctions occur due to the absolute or relative stenosis of the lumbosacral spinal canal caused by various congenital or acquired factors (such as spinal fractures, lumbar degenerative lesions, cauda equina tumors, etc.).

Generally, the most cauda equina syndrome caused by cauda equina nerve compression is the lumbar intervertebral disc herniation, because the intervertebral disc herniation is compressed in a single position, resulting in the tension or rupture of the intervertebral disc placed in the lower vertebral column, which will produce cauda equina syndrome. However, ordinary lumbar disc herniation does not affect the cauda equina nerve, and if it affects the cauda equina nerve, then only 2% to 6% of patients can undergo lumbar disc surgery**Cauda equina syndrome. Moreover, whether the timing of the operation is timely and the degree of surgery standard all determine whether the subsequent physical recovery is more perfect.

In addition to the common lumbar disc herniation that causes damage to the cauda equina nerve, there are some factors that can also lead to the occurrence of cauda equina syndrome, such as: Lumbar spinal stenosis: Like lumbar spinal stenosis, as the name suggests, it is the spinal stenosis that we accommodate the cauda equina nerve, and due to various reasons, the spinal canal is compressed by pressure and the nerve is compressed to produce cauda equina syndrome.

Ankylosing spondylitis: It is a disease of the spine and joints mainly affected by the axial joints, and is a chronic disease. Fibrosis and ossification of the sacroiliac joints, fibrous annulus and nearby connective tissue can also lead to cauda equina nerve injury due to inflammation from this disease.

Ankylosing spondylitis is an inflammatory rheumatic disease that can cause damage to the cauda equina nerve. Abscess infection: an abscess-like spinal canal infection, such as osteomyelitis, develops outside the lumbar dural sac, which may potentially compress the spinal canal, causing neurological symptoms that can lead to cauda equina syndrome.

Tumors: Tumors near the spine may compress the spinal canal, and tumors may originate in the spine, but the more common cancers in the body (referring to malignant tumors) will spread to the periphery of the spine, and it is easy to cause compression damage to the cauda equina nerve root.

Cauda equina syndrome is mostly caused by a variety of congenital or acquired reasons, resulting in absolute or relative narrowing of the lumbar spinal canal and compression of the cauda equina nerve. For example, spinal fractures, lumbar degeneration, and cauda equina tumors. It can also be seen as a result of anesthetic accidents.

Cauda equina syndrome should be diagnosed as early as possible, with early surgery and, if necessary, emergency surgery to relieve the compression of the lesion on the cauda equina nerve and loosen the adhesions to restore nerve function.

The mechanism of cauda equina syndrome is mostly caused by factors such as lumbar strain, trauma, and overloaded lumbar traction, which causes the protrusion to protrude from the posterior longitudinal middle to the spinal canal, compressing the nerve roots on both sides and the cauda equina nerve below the protruding plane, resulting in cerebrospinal fluid circulation disorders, and nerve congestion, edema, and arachnoid adhesions, causing a vicious circle and making the symptoms more serious.

Congenital dysplasia, or acquired degeneration of the lumbar spine: patients with developmental spinal stenosis and degenerative lesions of the lumbar spine, usually due to congenital or acquired physical factors that cause spinal stenosis, syndrome of nerve compression caused by lumbar plate or ligamentum flavum hypertrophy, or nerve compression caused by lateral recess stenosis.

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Accidental, vertebral or adnexal fractures: Lumbar vertebral fractures or blowout fractures usually result in direct nerve damage from bone fragments due to a series of accidents such as fall injuries, firearm injuries, knife wounds, car accidents, etc. Because it is in the body, it is easy to cause bleeding, scarring, and even deeper injury to the conus or spinal cord, resulting in a very severe or irreversible cauda equina syndrome.

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Spinal cysts, tumors, hemorrhage: due to the traces of dural sac compression in some patients and the mass in the spinal canal, resulting in angiogram finding that the mass is active hemorrhage, the hematoma compresses the cauda equina nerve, resulting in damage to the cauda equina nerve, and the same is true for spontaneous cysts or tumors in the body, and complications occur due to compression or damage to the cauda equina nerve caused by compression.

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Surgery, the use of anesthetics: There are many uncertain components and probability problems in surgery, especially in the lumbar spine compression of nerves, some patients may go through the inevitable operation in surgery, resulting in more nerve damage, cauda equina syndrome or some kind of implicated symptoms, resulting in irreversible damage. If the anesthetic enters the subarachnoid space, it is easy to cause edema or adhesion of the cauda equina nerve, or accidentally injure the extradural sac choroid plexus to form a hematoma and compress the nerve, and then there is a toxic effect that directly damages the nerve and produces symptoms.

Lumbar degeneration and spondylolisthesis can cause spinal stenosis, and thickening of the ligamentum flavum on the lower edge of the lamina, which attaches to the lax lamina. It surrounds the dural sac, and the tissues in the lateral crypt compress the cauda equina nerve, causing many symptoms;

Some patients are often massaged, and massage will also cause spondylolisthesis resulting in cauda equina nerve compression or lumbar degenerative dislocation and lumbar fracture, which will lead to cauda equina nerve injury;

After vertebral or adnexal fractures, the fragments can pass through the dura and cause direct injury to the cauda equina nerve, hemorrhage, scarring, or even deeper injury to the conus equina or spinal cord. Vertebral compression fractures constitute a fold in the soft tissues of the spinal canal, and the spinal canal is extremely narrow, resulting in very severe or irreversible cauda equina nerve damage;

Accidental injury caused by firearms, this kind of firearm injury is a theory of injury caused by direct or indirect violent action, mostly seen in bullets or bullet fragments ingested into the spinal canal or vertebral ponto, a series of inflammatory reactions occur within a certain period of time, fibrous tissue proliferation, followed by scarring, and the cauda equina nerve will accumulate for a long time, resulting in gradually aggravating secondary damage;

Bleeding inside the body, such as traces of dural sac compression and a mass in the spinal canal, which is found to be active bleeding by angiography, and hematoma compresses the cauda equina nerve and causes damage to the cauda equina nerve;

The use of anesthetics, the epidural anesthetic needle is mistakenly inserted into the subarachnoid space, which directly injures the cauda equina nerve, causing edema or adhesion; Or the needle accidentally injures the epidural choroid plexus to form an epidural hematoma that compresses the cauda equina nerve, and the toxic effect of the anesthetic directly damages the nerve in the body.