ArticleGlobal spine journal2026
Intraoperative Bulbocavernosus Reflex Monitoring for Predicting Bowel Function After Resection of Conus Medullaris and Cauda Equina Tumors.
Article in Global spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Study DesignRetrospective cohort study.ObjectiveTo evaluate the predictive value of intraoperative bulbocavernosus reflex (BCR) monitoring for postoperative bowel dysfunction (PBD) following conus medullaris and cauda equina tumor (CMCET) resection.MethodsA total of 118 patients were analyzed. Neurogenic Bowel Dysfunction Scores >6 at 1 month and 6 months postoperatively defined short- and long-term PBD. The amplitude reduction ratio (ARR) was calculated from bilateral BCR waveforms using the worst-side ARR for analysis. Multivariate logistic regression and ROC curve analysis determined independent predictors and optimal thresholds. Stratified 10-fold cross-validation confirmed threshold stability.ResultsPatients with short-term or long-term PBD had significantly higher ARRs than those without (
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