Epidemiology of cauda equina syndrome. What changed until 2015

Detalhes bibliográficos
Autor(a) principal: Dias,André Luiz Natálio
Data de Publicação: 2018
Outros Autores: Araújo,Fernando Flores de, Cristante,Alexandre Fogaça, Marcon,Raphael Martus, Barros Filho,Tarcísio Eloy Pessoa de, Letaif,Olavo Biraghi
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100107
Resumo: ABSTRACT Objective: The primary objective of this study was to analyze the characteristics and outcomes of cases admitted to hospital with cauda equina syndrome (CES) at the Institute of Orthopedics and Traumatology (IOT) from 2005 to 2015. Secondly, this article is a continuation of the epidemiological work of the same base published in 2013, and will be important for other comparative studies to a greater understanding of the disease and its epidemiology. Methods: This was a retrospective study of the medical records of admissions due to CES at IOT in the period 2005-2015 with diagnosis of CES and neuropathic bladder. The following variables were analyzed: gender, age, etiology of the disease, topographic level of the injury, time interval between injury and diagnosis, presence of neurogenic bladder, time interval between diagnosis of the CES and surgery, and reversal of the deficit or of the neurogenic bladder. Results: Since this is a rare disease, with a low global incidence, it was not possible, just with the current study to establish statistically significant correlations between the variables and outcomes of the disease. However, this study demonstrates the shortcomings of the Brazilian public health system, both with the initial management of these patients and the need for urgent surgical treatment. Conclusion: The study shows that despite well-defined basis for the conduct of CES, a higher number of sequelae caused by the pathology is observed in Brazil. The delay in diagnosis and, therefore, for definitive treatment, remains as the major cause for the high number of sequelae. Level of evidence: 4, case series.
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spelling Epidemiology of cauda equina syndrome. What changed until 2015Cauda equinaIntervertebral disc displacementNeurogenic urinary bladderABSTRACT Objective: The primary objective of this study was to analyze the characteristics and outcomes of cases admitted to hospital with cauda equina syndrome (CES) at the Institute of Orthopedics and Traumatology (IOT) from 2005 to 2015. Secondly, this article is a continuation of the epidemiological work of the same base published in 2013, and will be important for other comparative studies to a greater understanding of the disease and its epidemiology. Methods: This was a retrospective study of the medical records of admissions due to CES at IOT in the period 2005-2015 with diagnosis of CES and neuropathic bladder. The following variables were analyzed: gender, age, etiology of the disease, topographic level of the injury, time interval between injury and diagnosis, presence of neurogenic bladder, time interval between diagnosis of the CES and surgery, and reversal of the deficit or of the neurogenic bladder. Results: Since this is a rare disease, with a low global incidence, it was not possible, just with the current study to establish statistically significant correlations between the variables and outcomes of the disease. However, this study demonstrates the shortcomings of the Brazilian public health system, both with the initial management of these patients and the need for urgent surgical treatment. Conclusion: The study shows that despite well-defined basis for the conduct of CES, a higher number of sequelae caused by the pathology is observed in Brazil. The delay in diagnosis and, therefore, for definitive treatment, remains as the major cause for the high number of sequelae. Level of evidence: 4, case series.Sociedade Brasileira de Ortopedia e Traumatologia2018-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100107Revista Brasileira de Ortopedia v.53 n.1 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.11.006info:eu-repo/semantics/openAccessDias,André Luiz NatálioAraújo,Fernando Flores deCristante,Alexandre FogaçaMarcon,Raphael MartusBarros Filho,Tarcísio Eloy Pessoa deLetaif,Olavo Biraghieng2018-05-02T00:00:00Zoai:scielo:S0102-36162018000100107Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-05-02T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Epidemiology of cauda equina syndrome. What changed until 2015
title Epidemiology of cauda equina syndrome. What changed until 2015
spellingShingle Epidemiology of cauda equina syndrome. What changed until 2015
Dias,André Luiz Natálio
Cauda equina
Intervertebral disc displacement
Neurogenic urinary bladder
title_short Epidemiology of cauda equina syndrome. What changed until 2015
title_full Epidemiology of cauda equina syndrome. What changed until 2015
title_fullStr Epidemiology of cauda equina syndrome. What changed until 2015
title_full_unstemmed Epidemiology of cauda equina syndrome. What changed until 2015
title_sort Epidemiology of cauda equina syndrome. What changed until 2015
author Dias,André Luiz Natálio
author_facet Dias,André Luiz Natálio
Araújo,Fernando Flores de
Cristante,Alexandre Fogaça
Marcon,Raphael Martus
Barros Filho,Tarcísio Eloy Pessoa de
Letaif,Olavo Biraghi
author_role author
author2 Araújo,Fernando Flores de
Cristante,Alexandre Fogaça
Marcon,Raphael Martus
Barros Filho,Tarcísio Eloy Pessoa de
Letaif,Olavo Biraghi
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Dias,André Luiz Natálio
Araújo,Fernando Flores de
Cristante,Alexandre Fogaça
Marcon,Raphael Martus
Barros Filho,Tarcísio Eloy Pessoa de
Letaif,Olavo Biraghi
dc.subject.por.fl_str_mv Cauda equina
Intervertebral disc displacement
Neurogenic urinary bladder
topic Cauda equina
Intervertebral disc displacement
Neurogenic urinary bladder
description ABSTRACT Objective: The primary objective of this study was to analyze the characteristics and outcomes of cases admitted to hospital with cauda equina syndrome (CES) at the Institute of Orthopedics and Traumatology (IOT) from 2005 to 2015. Secondly, this article is a continuation of the epidemiological work of the same base published in 2013, and will be important for other comparative studies to a greater understanding of the disease and its epidemiology. Methods: This was a retrospective study of the medical records of admissions due to CES at IOT in the period 2005-2015 with diagnosis of CES and neuropathic bladder. The following variables were analyzed: gender, age, etiology of the disease, topographic level of the injury, time interval between injury and diagnosis, presence of neurogenic bladder, time interval between diagnosis of the CES and surgery, and reversal of the deficit or of the neurogenic bladder. Results: Since this is a rare disease, with a low global incidence, it was not possible, just with the current study to establish statistically significant correlations between the variables and outcomes of the disease. However, this study demonstrates the shortcomings of the Brazilian public health system, both with the initial management of these patients and the need for urgent surgical treatment. Conclusion: The study shows that despite well-defined basis for the conduct of CES, a higher number of sequelae caused by the pathology is observed in Brazil. The delay in diagnosis and, therefore, for definitive treatment, remains as the major cause for the high number of sequelae. Level of evidence: 4, case series.
publishDate 2018
dc.date.none.fl_str_mv 2018-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2017.11.006
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.53 n.1 2018
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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