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脊柱推拿后马尾综合征病例的康复：一个漫长而艰难的过程。

Rehabilitation in a case with cauda equina syndrome after spinal manipulation: A long and difficult process.

作者信息

Turan Burak Kamil, Sonel Tur Birkan

机构信息

Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2024 Oct 31;71(2):250-254. doi: 10.5606/tftrd.2024.14930. eCollection 2025 Jun.

DOI:10.5606/tftrd.2024.14930
PMID:40740178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12305677/
Abstract

In this case report, the rehabilitation process of a 38-year-old female patient who developed cauda equina syndrome due to spinal manipulation for the treatment of lumbar disc herniation was presented. The aim was to discuss the outcomes of rehabilitation after cauda equina syndrome, as well as the challenges associated with it. Despite the difficulties experienced during the rehabilitation process, a comprehensive multidisciplinary rehabilitation program is beneficial in terms of gaining independence and returning to daily activities, social life, and work for patients with cauda equina syndrome.

摘要

在本病例报告中，介绍了一名38岁女性患者的康复过程，该患者因腰椎间盘突出症接受脊柱推拿治疗而发生马尾综合征。目的是探讨马尾综合征后的康复效果以及与之相关的挑战。尽管在康复过程中遇到了困难，但对于马尾综合征患者而言，全面的多学科康复计划在实现独立以及恢复日常活动、社交生活和工作方面是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/712f/12305677/ea38b9a0d75e/TJPMR-2025-71-2-250-254-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/712f/12305677/ea38b9a0d75e/TJPMR-2025-71-2-250-254-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/712f/12305677/ea38b9a0d75e/TJPMR-2025-71-2-250-254-F1.jpg

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本文引用的文献

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Spinal cord stimulation and cauda equina syndrome: Could it be a valid option? A report of two cases.脊髓刺激与马尾综合征：它会是一个可行的选择吗？两例报告。
Neurocirugia (Engl Ed). 2022 Mar-Apr;33(2):90-94. doi: 10.1016/j.neucie.2020.12.002.
2
Outcomes of cauda equina syndrome due to lumbar disc herniation after surgical management and the factors affecting it: a systematic review and meta-analysis of 22 studies with 852 cases.腰椎间盘突出症致马尾神经综合征手术治疗的结果及其影响因素：对22项研究共852例病例的系统评价和Meta分析
Eur Spine J. 2022 Feb;31(2):353-363. doi: 10.1007/s00586-021-07001-0. Epub 2021 Sep 28.
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Evaluation and Management of Cauda Equina Syndrome.
马尾综合征的评估与管理
Am J Med. 2021 Dec;134(12):1483-1489. doi: 10.1016/j.amjmed.2021.07.021. Epub 2021 Aug 30.
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Bowel Dysfunction in Spinal Cord Injury.脊髓损伤中的肠道功能障碍
Curr Gastroenterol Rep. 2018 Aug 29;20(10):47. doi: 10.1007/s11894-018-0655-4.
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Cauda Equina Syndrome Due to Vigorous Back Massage With Spinal Manipulation in a Patient With Pre-Existing Lumbar Disc Herniation: A Case Report and Literature Review.因预先存在的腰椎间盘突出症行脊柱推拿配合强力背部按摩致马尾综合征：病例报告和文献复习。
Am J Phys Med Rehabil. 2018 Apr;97(4):e23-e26. doi: 10.1097/PHM.0000000000000809.
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Physiotherapy rehabilitation for people with spinal cord injuries.脊髓损伤患者的物理治疗康复
J Physiother. 2016 Jan;62(1):4-11. doi: 10.1016/j.jphys.2015.11.004. Epub 2015 Dec 12.
7
Characteristics of lumbar disc herniation with exacerbation of presentation due to spinal manipulative therapy.因脊柱推拿治疗导致症状加重的腰椎间盘突出症的特征。
Medicine (Baltimore). 2015 Mar;94(12):e661. doi: 10.1097/MD.0000000000000661.
8
Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up.创伤性脊髓损伤患者的神经源性膀胱：治疗与随访
Spinal Cord. 2014 Jun;52(6):462-7. doi: 10.1038/sc.2014.41. Epub 2014 Apr 15.
9
Epidemiological study of cauda equina syndrome.马尾综合征的流行病学研究。
Acta Ortop Bras. 2013 May;21(3):159-62. doi: 10.1590/S1413-78522013000300006.
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Pudendal nerve stimulation for bowel dysfunction in complete cauda equina syndrome.阴部神经刺激治疗完全马尾综合征的肠道功能障碍。
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