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Anatomical and Pathophysiological Features of Cauda Equina

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2013, 20(4), pp.210-214
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

김도연 1 이광복 2

1전북대학교 의학전문대학원 정형외과학교실, 전북대학교병원 정형외과, 의생명연구원
2전북대학교

Accredited

ABSTRACT

Study Design: Review of literature on anatomical and pathophysiological features of cauda equina. Objectives: To look into the anatomical and pathophysiological features of cauda equina and support their basic knowledge of treating cauda equina syndrome. Summary of Literature Review: Cauda equina has different anatomical and pathophysiological features to peripheral nerve. Materials and Methods: Review of literature. Results: When compressing to cauda equina, the pathophysiologic mechanism develop as follows; increasing the vascular permiablity of nerve root, intraneural edema, and subsequent blood and nutritional impairment. Nerve root injury develops through this pathophysiologic mechanism. Conclusions: Cauda equina has an extensive ateriovenous anastomosis and guaze-like pia mater, which supply blood and neutrition to it. These anatomical features prevent it from complete cauda equina syndrome when compressing to it under arterial blood pressure.

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