Sacral sparing with cauda equina compression from central lumbar intervertebral disc prolapse

J Neurol Neurosurg Psychiatry. 1985 Jun;48(6):579-81. doi: 10.1136/jnnp.48.6.579.

Abstract

Sparing of sensation in sacral dermatomes and of sphincter control was found in eight out of fourteen cases of severe cauda equina compression from massive central lumbar disc prolapse. Although the triangular shape of the lumbar spinal canal may be one factor for this it was found from a necropsy model that the increase in linear strain on the stretched roots of the cauda equina is least in the more centrally placed lower sacral roots. It is argued that the lower tension in these roots is determined by Young's Modulus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Cauda Equina* / pathology
  • Humans
  • Intervertebral Disc / pathology
  • Intervertebral Disc Displacement / complications*
  • Intervertebral Disc Displacement / pathology
  • Male
  • Models, Neurological
  • Nerve Compression Syndromes / etiology*
  • Nerve Compression Syndromes / pathology