ArticleJournal of orthopaedic surgery and research2025
Biportal endoscopic lumbar discectomy surgery in patients with cauda equina syndrome caused by lumbar herniated intervertebral disc: a retrospective multi-center cohort study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Cauda equina syndrome due to lumbar disc herniation managed with unilateral biportal endoscopic discectomy: A case report and review of literature.International journal of surgery case reports · 2025Article
- Clinical efficacy and impact on sexual function of percutaneous endoscopic lumbar discectomy in the treatment of male lumbar disc herniation complicated with cauda equina syndrome.BMC musculoskeletal disorders · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundCauda equina syndrome (CES) is a severe neurological condition caused by significant compression of the cauda equina nerve roots. This study evaluates the efficacy of biportal endoscopic (BE) lumbar discectomy in treating CES caused by lumbar herniated intervertebral discs.
methodsThis retrospective case series includes 32 CES patients treated with BE lumbar discectomy from March 2017 to July 2022. Patient demographics, surgical details, and outcomes were analyzed. Clinical outcomes were assessed using the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and EQ-5D scores at baseline, and at 3, 6, and 12 months postoperatively.
resultsThe mean age was 44.44 ± 13.70 years. The average duration from symptom onset to surgery was 44.81 ± 32.69 h. Significant improvements at 12 months were observed in VAS for back pain (5.00 ± 2.82 to 1.28 ± 1.63, p < 0.01) and leg pain (7.44 ± 1.79 to 1.16 ± 1.55, p < 0.01), ODI (58.25 ± 20.15 to 10.13 ± 14.54, p < 0.01), and EQ-5D (0.414 ± 0.175 to 0.859 ± 0.163, p < 0.01). Bladder and bowel symptom recovery rates were 86.7% and 85.0%, respectively. Mean operation time was 42.50 ± 17.91 min, with a hospital stay of 3.34 ± 2.59 days. Complications included incidental durotomy (6.3%) and facet joint injury (6.3%).
conclusionBiportal endoscopic spine surgery is a feasible and effective option for CES, providing significant decompression with minimal tissue damage and a low complication rate.
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