What outcome is associated with performing surgical intervention within 48 hours from the onset of cauda equina syndrome?

• A. Worse long-term outcomes
• B. Better outcomes
• C. No effect on outcomes
• D. Higher complication rates

Answer: (B)

Surgical intervention within 48 hours from the onset of cauda equina syndrome is associated with better outcomes because timely decompression of the nerve roots can significantly reduce the risk of permanent neurological deficits. Cauda equina syndrome is typically caused by compression of the lower spinal cord and the nerve roots, often resulting from herniated discs, tumors, or trauma.

When surgery is performed swiftly, it helps restore normal blood flow and nerve function, leading to improved recovery in motor and sensory functions. Delay in surgical intervention can lead to irreversible damage due to prolonged compression, increasing the likelihood of urinary dysfunction, sexual dysfunction, and lower limb weakness. Thus, the substantial evidence supports the notion that prompt surgical care enhances the chances of favorable recovery outcomes for individuals suffering from this condition.