Is Cauda Equina Surgery Safe Out-of-Hours? A Single United Kingdom Institute Experience
Published research co-authored by Mr Gordan Grahovac
This study reviewed whether cauda equina syndrome surgery performed out of hours was associated with different outcomes or complications. It matters because CES surgery is often time-sensitive, but emergency timing must be balanced with safe surgical conditions.
Research snapshot
Article title: Is Cauda Equina Surgery Safe Out-of-Hours? A Single United Kingdom Institute Experience
Authors: Asfand Baig Mirza, Maria Alexandra Velicu, Richard Lyon, Amisha Vastani, Timothy Boardman, Qusai Al Banna, Christopher Murphy, Christopher Kellett, Ahilan Kailaya Vasan, Gordan Grahovac
Publication type: Journal article
Publication date: 14 December 2021
Publication details: World Neurosurgery. 2022;159:e208-e220.
PMID: 34915208
PMCID:
DOI: 10.1016/j.wneu.2021.12.028
Study type: Single-centre retrospective study
Mr Grahovac’s involvement: Listed author on the publication
Original publication: View the original publication on PubMed
What this paper looked at
This study examined cauda equina syndrome operations performed at a UK institute and compared issues related to out-of-hours surgery. The clinical question was whether emergency surgery outside routine hours was associated with safety concerns or worse outcomes.
Key points from the publication
The publication record confirms the article topic, journal, date and DOI. The abstract explains that delayed CES surgery can have serious neurological consequences, while out-of-hours surgery may carry practical and operative risks.
Clinical relevance
The paper is relevant to surgical timing, emergency operating practice and service planning for cauda equina syndrome.
What this means in context
The study does not mean all CES operations should or should not be performed out of hours. Decisions depend on urgency, neurological status, bladder function, imaging, operating-team availability and patient safety.
View the original publication
You can view the original peer-reviewed publication through PubMed or via the article DOI.
View the original publication on PubMed
About Mr Gordan Grahovac
Mr Gordan Grahovac is a Consultant Neurosurgeon and Complex Spinal Surgeon with expertise in managing complex spinal and neurosurgical conditions.
His work includes the assessment and treatment of patients with degenerative spinal conditions, spinal cord compression, spinal tumours, complex spinal pathology and conditions requiring specialist neurosurgical input.
His approach focuses on careful diagnosis, appropriate treatment planning and helping patients understand their options clearly.
Important note
This page is for educational purposes only and should not be taken as individual medical advice.
If you or someone you know has symptoms such as worsening headache, confusion, drowsiness, weakness, changes in speech, seizures, balance problems or symptoms following a head injury, seek urgent medical advice.
