{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:44:22Z","timestamp":1777880662773,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p>We report 3 patients with cauda equina syndrome (CES) secondary to a sacral fracture. The difficulty in early diagnosis of CES and the lack of evidence and guidance on treatment are highlighted. When there is a sacral fracture, CES should be suspected. Thorough clinical examination including digital rectal examinations and bladder function quantification is advised. The threshold for performing computed tomography and\/or magnetic resonance imaging of the pelvis should be low. Patients should be treated by a multi-disciplinary team with both orthopaedic and neurosurgical input. Further studies are needed to identify the timing and to which patients surgical decompression should be performed.<\/jats:p>","DOI":"10.1177\/230949901202000224","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:13:55Z","timestamp":1475601235000},"page":"250-253","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Cauda Equina Syndrome following Sacral Fractures: A Report of Three Cases"],"prefix":"10.1177","volume":"20","author":[{"given":"Nick","family":"Aresti","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Whittington Hospital, Archway, London, United Kingdom"},{"name":"Core Surgical Trainee, London Deanery, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Govin","family":"Murugachandran","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Whittington Hospital, Archway, London, United Kingdom"},{"name":"Core Surgical Trainee, London Deanery, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Whittington Hospital, Archway, London, United Kingdom"},{"name":"The National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"key":"bibr1-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198802000-00010"},{"key":"bibr2-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199105020-00014"},{"key":"bibr3-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198511000-00011"},{"key":"bibr4-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.12.014"},{"key":"bibr5-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B6.1955446"},{"key":"bibr6-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2008.064972"},{"key":"bibr7-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03330060055034"},{"key":"bibr8-230949901202000224","first-page":"1472","volume":"74","author":"Newhouse KE","year":"1992","journal-title":"J Bone Joint Surg Am"},{"key":"bibr9-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1996.00440060096012"},{"key":"bibr10-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1007\/PL00011178"},{"key":"bibr11-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/37.7.789"},{"key":"bibr12-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1016\/0899-7071(94)00030-G"},{"key":"bibr13-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.156.1.4001403"},{"key":"bibr14-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199312000-00021"},{"key":"bibr15-230949901202000224","first-page":"380","volume":"97","author":"Finiels PJ","year":"2002","journal-title":"J Neurosurg"},{"key":"bibr16-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-006-0239-5"},{"key":"bibr17-230949901202000224","first-page":"1003","volume":"24","author":"Pommersheim W","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr18-230949901202000224","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1048-z"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901202000224","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901202000224","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:18:25Z","timestamp":1777594705000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901202000224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1177\/230949901202000224"],"URL":"https:\/\/doi.org\/10.1177\/230949901202000224","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8]]}}}