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  • Title: Cauda equina syndrome following sacral fractures: a report of three cases.
    Author: Aresti N, Murugachandran G, Shetty R.
    Journal: J Orthop Surg (Hong Kong); 2012 Aug; 20(2):250-3. PubMed ID: 22933690.
    Abstract:
    We report 3 patients with cauda equina syndrome (CES) secondary to a sacral fracture. The difficulty in early diagnosis of CES and the lack of evidence and guidance on treatment are highlighted. When there is a sacral fracture, CES should be suspected. Thorough clinical examination including digital rectal examinations and bladder function quantification is advised. The threshold for performing computed tomography and/or magnetic resonance imaging of the pelvis should be low. Patients should be treated by a multi-disciplinary team with both orthopaedic and neurosurgical input. Further studies are needed to identify the timing and to which patients surgical decompression should be performed.
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