“…Although CES is clearly related to the presence of an acute large lumbosacral disc herniation, its relationship to acute traumatic injury to the thoracolumbar junction is less clearly defined. Many authors 2,3,14,17,18,22,27,34,36,40,41 have defined variable treatment algorithms for the management of CES caused by acute herniation of the nucleus pulposus. Nonetheless, a precise understanding of the pathophysiology and optimal treatments, including the timing of the latter, has yet to be elucidated for either traumatic CES or CMS.…”