@article{ART001562403},
author={양준영 and 이준규 and 송호섭 and 주용범 and 차수민},
title={Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2011},
volume={18},
number={2},
pages={57-63}
TY - JOUR
AU - 양준영
AU - 이준규
AU - 송호섭
AU - 주용범
AU - 차수민
TI - Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis
JO - Journal of Korean Society of Spine Surgery
PY - 2011
VL - 18
IS - 2
PB - Korean Society Of Spine Surgery
SP - 57
EP - 63
SN - 2093-4378
AB - Study Design: This is a retrospective study Objectives: We made a scoring system using the symptoms of cauda equina syndrome(CES) and we studied the efficacy of the scoring system.
Summary of the Literature Review: There has been no definite scoring system with clear factors that can predict the clinical results of cauda equine syndrome Materials and Methods: Between 1998 and 2006, 21 patients who were diagnosed with CES and who were followed for more than 2 years were enrolled in this study. There were 6 cases of HIVD, 6 cases of degenerative spondylosis, 7 cases of vertebral fracture and 2 cases of metastatic spinal tumor. We made a scoring system for CES (SSCES) using 8 symptoms among the general clinical manifestations that accompany CES, which are low back pain, sciatic neuropathy, sensory and motor disorder of the lower extremities,loss of a saddle sensation, voiding difficulty, disorder of the anal sphincter tone and deep tendon reflex disorder.
Results: The last clinical outcomes were 3 excellent patients, 5 good patients, 5 fair patients and 8 poor patients. The mean preoperative SSCES was 11.7±2.8(7-16) and the mean final follow up score was 7.6±3.4(2-13). Eight cases that had a mean preoperative SSCES score of 6 or below showed good clinical results with a mean SSCES of 3.9±11(2-5) on the final follow up, and 13 cases with a mean preoperative SSCES score of 7 or above showed bad clinical results with a mean SSCES of 9.9±1.9(7-13) on the final follow up.
Conclusions: The prognosis was better on the final follow up for the patients with a lowere preoperative SSCES. So, for the treatment of CES, preoperative evaluation using the SSCES is thought to be very useful for predicting the prognosis.
Key Words: Cauda equina syndrome, Prognostic factor, Scoring system
KW - Cauda equina syndrome;Prognostic factor;Scoring system
DO -
UR -
ER -
양준영, 이준규, 송호섭, 주용범 and 차수민. (2011). Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis. Journal of Korean Society of Spine Surgery, 18(2), 57-63.
양준영, 이준규, 송호섭, 주용범 and 차수민. 2011, "Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis", Journal of Korean Society of Spine Surgery, vol.18, no.2 pp.57-63.
양준영, 이준규, 송호섭, 주용범, 차수민 "Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis" Journal of Korean Society of Spine Surgery 18.2 pp.57-63 (2011) : 57.
양준영, 이준규, 송호섭, 주용범, 차수민. Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis. 2011; 18(2), 57-63.
양준영, 이준규, 송호섭, 주용범 and 차수민. "Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis" Journal of Korean Society of Spine Surgery 18, no.2 (2011) : 57-63.
양준영; 이준규; 송호섭; 주용범; 차수민. Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis. Journal of Korean Society of Spine Surgery, 18(2), 57-63.
양준영; 이준규; 송호섭; 주용범; 차수민. Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis. Journal of Korean Society of Spine Surgery. 2011; 18(2) 57-63.
양준영, 이준규, 송호섭, 주용범, 차수민. Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis. 2011; 18(2), 57-63.
양준영, 이준규, 송호섭, 주용범 and 차수민. "Clinical Outcome Based Cauda Equina Syndrome Scoring System for Prediction of Prognosis" Journal of Korean Society of Spine Surgery 18, no.2 (2011) : 57-63.