Cauda Equina Syndrome
Emergency Spine Care by Dr. Nitish Agrawal – Best Spine Surgeon in Pune
Cauda Equina Syndrome (CES) is a medical emergency caused by severe compression of the cauda equina nerves—a bundle of nerve roots at the lower end of the spinal cord. These nerves control leg movement, sensation, and bladder–bowel function. When they are compressed, urgent treatment is required to prevent permanent nerve damage.
Dr. Nitish Agrawal, one of the best spine surgeons in Pune, provides rapid diagnosis and emergency surgical management for cauda equina syndrome to achieve the best possible neurological recovery.
Causes of Cauda Equina Syndrome
- Large lumbar disc prolapse (slip disc)
- Severe spinal canal stenosis
- Spine trauma or fracture
- Spinal infection or abscess
- Tumor or bleeding in the spinal canal
Symptoms of Cauda Equina Syndrome
- Severe low back pain
- Weakness or numbness in one or both legs
- Loss of sensation in the saddle area (inner thighs, buttocks, genital region)
- Difficulty or inability to pass urine
- Loss of bladder or bowel control
- Sexual dysfunction
- Diagnosis
Immediate evaluation is crucial. Dr. Nitish Agrawal recommends:
- Urgent MRI of the lumbar spine
- Detailed neurological examination
Treatment of Cauda Equina Syndrome
Emergency Surgical Treatment
Surgery is the only definitive treatment and should be performed as early as possible.
Dr. Nitish Agrawal performs:
- Urgent spinal decompression surgery
- Complete disc removal (if disc prolapse is the cause)
- Placement of titanium disc/cage, when required
- Spinal stabilization with titanium rods and screws for long-term stability
Goals of surgery:
- Relieve pressure on nerve roots
- Restore bladder, bowel, and leg function
- Prevent permanent neurological damage
- Why Early Surgery Is Critical
Delay in treatment can result in:
- Permanent bladder or bowel dysfunction
- Chronic leg weakness or paralysis
- Lifelong disability
Early surgical intervention offers the best chance of recovery.
Why Choose Dr. Nitish Agrawal?
- Best Spine Surgeon in Pune
- Expertise in emergency spine surgeries
- Advanced decompression and fixation techniques
- Rapid, patient-focused decision-making
