Rehabilitation following decompression surgery for epiconus syndrome and cauda equina syndrome due to traumatic injury: a case report

Background and Objective: Spinal pathology frequently presents in physiotherapy caseloads, making a thorough understanding of Cauda Equina Syndrome (CES) essential. Although the treatment of CES with physical therapy and rehabilitation is uncommon, this case study aims to identify optimal treatment strategies and early rehabilitation following a traumatic event.Case Presentation: We present a case of a ۵۶-year-old Chinese male who visited Tongji Hospital in ۲۰۲۳ after experiencing a fall. Imaging revealed a burst fracture at the L۱ vertebral body, resulting in compression of the corresponding spinal cord. The patient was diagnosed with T۱۲-L۱ epiconus syndrome accompanied by L۲ CES. Following a comprehensive evaluation, including MRI and motor-sensory function assessments, he underwent a structured rehabilitation protocol and therapeutic management. At the final follow-up, the patient achieved ASIA grade D.Discussion: This case study highlights the effectiveness of comprehensive physical rehabilitation and multidisciplinary collaboration in treating traumatic events that lead to epiconus syndrome with CES. It offers valuable insights for clinical decision-making and highlights the importance of early rehabilitation in enhancing patient outcomes.

Keywords:

Cauda equina syndrome , Rehabilitation , Traumatic Injury