Dr. Kodlady Surendra Shetty | Appointment booking no: 080 2338 9357
Consultant Orthopedic & Spine Surgeon | Spine Care and Ortho Care Hospital,Bangalore
When there is a pressure on the spinal cord or the spinal roots the spinal cord is up to the level of L1 and below that there will be spinal roots wherever there is a pressure on the spinal cord. So there can be irregularity of the maturation or the urinary problem suppose that there is a sudden disc prolapse around the lower final column that is in the spinal root level below the L1. There will be final routes so if there is a sudden disc prolapse and there is a too much of compression the sudden compression then there can be paralysis of the bladder there can be paradise of the bladder there can be paralysis of the bubble that means there will be difficulty in maturation and difficulty in defecation also along with the weakness of the lower limb. So this has to be treated on an emergency basis yeah when there is sudden disc prolapse at L 3 or 4 level the disc comes out and presses upon the spinal nerve roots then there will be paralysis of the roots that leads to the weakness of the lower limb weakness of the bladder and weakness of the bubble. So there will be difficulty in passing urine properly so this is called cauda equina syndrome that is like coda equivalent means the tail of the horse that means the spinal cord in the lower level looks like a horse tail. So when there is a pressure on that so we get all these symptoms. So that is called cauda equina syndrome. Cauda equina syndrome is an emergency it has to be treated immediately and the treatment is usually surgery so when there is a pressure on the core it has to be released within four hours if you don’t release within that particular time there will be permanent damage for the roots and the maturation may be a problem for lifelong. So that has to be operated immediately and the either we have to do fusion surgery or decompression surgery depending upon the other findings.
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