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Post Anesthesia Clumping of Cauda Equine Nerve Roots after Hip Replacement Surgery - Allegation of Medical Negligence: A Case Report and Review

Arvind Kumar, Suman Badhal, Rishabh Kumar Singh, Rishi Solanki, Mahesh Kumar, Pankaj Keswani

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Indian Journal of Legal Medicine 1(2):p 74-77, July-Dec 2022. | DOI: N.A

How Cite This Article:

Kumar A, Badhal S, Singh RK, et al. Post Anesthesia Clumping of Cauda Equine Nerve Roots after Hip Replacement Surgery - Allegation of Medical Negligence: A Case Report and Review. Indian Journal of Legal Medicine. 2020;1(2):74-77.

Timeline

Received : September 27, 2022         Accepted : November 02, 2022          Published : December 28, 2025

Abstract

Total hip and knee arthroplasty (TKA and THA) have been quoted to be some of the most successful operations and performed in an increasing number of patients every year around the world to reduce pain and improve function. Also, postoperative activity levels are disappointingly low in many patients, and around 20% of patients are socially isolated following surgery.1,2 Additionally, some of the patients report chronic pain after THA and TKA, respectively. Given the negative physical and psychological consequences of these factors on outcomes such as all-cause mortality, return to work, and leisure activities, there is a significant rehabilitation challenge for this population. The post-surgery patient’s sufferings may lead to allegations of medical negligence. Proper communication, rehabilitation strategy may be beneficial for the good outcome. Here we are presenting a case report and review of literature in relation to a case of a 47 years old lady who filed a complaint at National Human Rights Commission in which it was alleged that due to negligence and wrong treatment/operation by the doctorsat a tertiary care hospital, she became handicapped as she lost function of her both lower limbs.


References

  • 1.   Harding P, Holland AE, Delany C, Hinman RS. Do activity levels increase after total hip and knee arthroplasty? Clin Orthop Relat Res. 2014 Sep;472(9):1502–11.
  • 2.   Smith TO, Dainty JR, MacGregor AJ. Changes in social isolation and loneliness following total hip and knee arthroplasty: longitudinal analysis of the English longitudinal study of ageing (ELSA) cohort. Osteoarthr Cartil 2017 Sep;25(9):1414–19.
  • 3.   Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007 Oct 27;370(9597):1508–19.
  • 4.   Wetters NG, Murray TG, Moric M, Sporer SM, Paprosky WG, Della Valle CJ: Risk factors for dislocation after revision total hip arthroplasty. Clin Orthop Relat Res. 2013 Feb;471(2):410–6.
  • 5.   Moussa T, Abdoulaya D, Youssouf C, et al. Cauda equina syndrome and profound hearing loss after spinal anaesthesia with isobaric bupivacaine. Anesth Analg 2006;102:1863-4.
  • 6.   Pleym H, Spigset O. Peripheral neurologic deficits in relation to subarachnoid or epidural administration of local anesthetics for surgery. A survey of 21 cases. Acta Anesthesiol Scand 1997 Apr;41(4):453–60.
  • 7.   Kubina P, Gupta A, Oscarsson A, Axelsson K, Bengtsson M. Two cases of cauda equina syndrome following spinal-epidural anesthesia. Reg Anesth 1997 Sep-Oct;22(5):447–50.
  • 8.   Stambough JL, Stambough JB, Evans S. Acute cauda equina syndrome after total knee arthroplasty as a result of epidural anesthesia and spinal stenosis. J Arthroplasty 2000 Apr;15(3):375– 9.
  • 9.   Wu KC, Chiang YY, Lin BC, Su HT, Poon KS, Shen ML, et al. Epidural cyst with cauda equina syndrome after epidural anesthesia. Acta Anaesthesiol Taiwan 2010 Sep;48(3):148–51.
  • 10.   Rice I, Wee MY, Thomson K. Obstetric epidurals and chronic adhesive arachnoiditis. Br J Anaesth 2004 Jan;92(1):109–20.
  • 11.   Erlenwein J, Müller M, Falla D, et al. Clinical relevance of persistent postoperative pain after total hip replacement – a prospective observational cohort study. Journal of Pain Research 2017 Sep;10:2183–93.
  • 12.   Buirs LD, Van Beers LW, Scholtes VA et al. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open. 2016 Sep 6;6(9):e010725. doi:10.1136/ bmjopen-2015-010725.
  • 13.   Thomas Partridge, Simon S Jameson, Paul Baker, David J Deehan et al. Ten-Year Trends in Medical Complications Following 540,623 Primary Total Hip Replacements from a National Database. J Bone Joint Surg Am 2018;100(5):360–7.
  • 14.   Sung Kwan Hwang, Experience of Complications of Hip Arthroplasty. Hip Pelvis 2014;26(4):207–13.
  • 15.   Kusum Sharma and Others Versus Batra Hospital and Medical Research Centre and Others [2001] Civil Appeal No.1385 of 2001 (Supreme court of India), p. Civil Appellate Jurisdiction.

Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provide.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Kumar A, Badhal S, Singh RK, et al. Post Anesthesia Clumping of Cauda Equine Nerve Roots after Hip Replacement Surgery - Allegation of Medical Negligence: A Case Report and Review. Indian Journal of Legal Medicine. 2020;1(2):74-77.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
September 27, 2022 November 02, 2022 December 28, 2025

DOI: N.A

Keywords

ArthroplastyCauda Equine Nerve RootsChronic pain

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Timeline


Received September 27, 2022
Accepted November 02, 2022
Published December 28, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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