Table 1: Summary of published cases of conus medullaris syndrome without lower limb sensorimotor disturbances following L1-burst fractures.
Age (years) | Mechanism of L1-burst fracture | Initial findings | Decompressive surgery | Final outcome | |
Case 1 [5] | 35 | Fall during skydiving | Decreased scrotal and penile sensation. Bladder distention | Yes | Residual bladder, bowel and erectile dysfunction at 12-months |
Case 2 [5] | 41 | Fall during dune biking | Urinary catheter. Decreased scrotal sensation. Perianal tingling | Yes | Residual bladder, bowel and erectile dysfunction at 15-months |
Case 3 [5] | 38 | Fall from tree | No details of bladder function or perineal sensation | Yes | Residual bladder, bowel and erectile dysfunction at 1-months |
Case 4 [5] | 28 | Motor vehicle accident | Delayed (7 days) perineal and bladder dysfunction | No | Normal bladder, bowel and erectile function at 6-months |
Case 5 [6] | 73 | Fall | Delayed (2 months) perineal, bladder and bowel dysfunction | Yes | Normal bladder and bowel function and perineal sensation at 12-months |
Case 6 [18] | 25 | Motor vehicle accident | Bladder dysfunction | Yes | Normal "sphincter function" at an average follow-up of 30-months |
Case 7 (present case) | 45 | Fall from ladder | Dorsal penile pain | No | Normal bladder, bowel and erectile function and perineal sensation at 12-months |