Yang Kai-Wu, Lai Wei-Hong, Huang Da-Wei
Department of Urology, Chiayi Christian Hospital, Chiayi 600566, Taiwan.
Department of Neurosurgery, Chiayi Christian Hospital, Chiayi 600566, Taiwan.
World J Clin Cases. 2025 Apr 6;13(10):101796. doi: 10.12998/wjcc.v13.i10.101796.
Cauda equina syndrome (CES) is characterized by a group of symptoms that may be caused by inflammation, spinal cord compression, venous congestion, or ischemia. This syndrome is commonly an indication for surgical intervention but has not been determined as a postoperative complication following surgery for lumbar spine disease.
To report the case of a 54-year-old male patient who had CES following spinal surgery, with no obvious compression lesions found during re-exploration, suggesting that vascular insufficiency may have contributed to the condition. Furthermore, a series of urodynamic studies on bladder recovery patterns in such complications have also been investigated.
Postoperative CES requires urgent imaging and exploration to rule out compression; noncompressive cases, including vascular insufficiency may performed conservative management.
马尾综合征（CES）的特征是一组可能由炎症、脊髓压迫、静脉充血或局部缺血引起的症状。该综合征通常是手术干预的指征，但尚未被确定为腰椎疾病手术后的并发症。
报告一名54岁男性患者，在脊柱手术后发生马尾综合征，再次探查时未发现明显的压迫性病变，提示血管功能不全可能是导致该病症的原因。此外，还对这类并发症中膀胱恢复模式进行了一系列尿动力学研究。
术后马尾综合征需要紧急进行影像学检查和探查以排除压迫；非压迫性病例，包括血管功能不全的情况，可进行保守治疗。
