Surgical treatment of tethered cord syndrome—comparing the results of surgeries with and without electrophysiological monitoring

Faludi, Gábor; Bognár, László; Novák, László

doi:10.1007/s00381-019-04129-9

Cited by 10 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15,51 This approach improves surgical outcomes and reduces the likelihood of postoperative recurrence. 52,53 Ultrasound can also assist in early TCS diagnosis, especially during pregnancy, due to its rapid and noninvasive nature. 54,55 However, after closure of the spinal canal, ultrasound becomes less effective in accurately detecting the conus position given its limited ability to penetrate bone.…”

Section: Examinationmentioning

confidence: 99%

Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases

He,

Wang,

Liu

et al. 2024

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVE This study aimed to investigate the differences in clinical features, diagnostic examination, treatment, and pathological results between adult-onset and pediatric-onset tethered cord syndrome (TCS). METHODS The authors searched the PubMed, Embase, and Cochrane Library databases through January 2023 for reports on TCS, extracting information on clinical features, imaging data, treatment modalities, prognosis, and pathological research results. A total of 6135 cases from 246 articles were included in the analysis. This review was conducted in accordance with the 2020 PRISMA guidelines and registered on PROSPERO. RESULTS The most common adult clinical manifestations were pain, urinary symptoms, and numbness; in children, they were urinary symptoms, skin lesions, bowel symptoms, and unspecific motor deficits. Surgical treatment was the primary approach for both adults and children, with a higher clinical improvement rate observed in adults. However, adults also had a higher rate of surgical complications than children. TCS pathological studies have not yet identified the differences between adults and children, and the pathogenesis of adult-onset TCS requires further investigation. CONCLUSIONS Adult-onset and pediatric-onset TCS exhibit certain differences in clinical characteristics, diagnostic examinations, and treatments. However, significant differences have not been found in current pathological studies between adults and children. Systematic review registration no.: CRD42023479450 (www.crd.york.ac.uk/prospero)

show abstract

Section: Examinationmentioning

confidence: 99%

Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases

He,

Wang,

Liu

et al. 2024

Neurosurgical Focus

View full text Add to dashboard Cite

show abstract

“…In this study, all of the patients showed congenital developmental malformations and were newly diagnosed patients. The imaging manifestations of this disease are varied, and mainly include a low spinal cord, myelolipoma, lipomyelomeningocele/meningocele, syringomyelia, diastemastomyelitis, spina bifida, scoliosis, and fur sinuses (3)(4)(5)(6). Complex TCS (C-TCS) is accompanied by complex and varied spinal cord manifestations and nerve root adherents along with severe lumbosacral coccygeal vertebrae deformities (7).…”

Section: Introductionmentioning

confidence: 99%

Classification of and individual treatment strategies for complex tethered cord syndrome

Lin,

Su,

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

ObjectiveTo study the classification, diagnosis, and treatment strategies of complex tethered cord syndrome (C-TCS) on the basis of the patients’ clinical symptoms, imaging findings, and therapeutic schedule.MethodsThe clinical data of 126 patients with C-TCS admitted to our department from January 2015 to December 2020 were retrospectively analyzed. Classification criteria for C-TCS were established by analyzing the causes of C-TCS. Different surgical strategies were adopted for different types of C-TCS. The Kirollos grading, visual analogue scale (VAS), critical muscle strength, and Japanese Orthopaedic Association (JOA) scores were used to evaluate the surgical outcomes and explore individualized diagnosis and treatment strategies for C-TCS.ResultsC-TCS was usually attributable to three or more types of tether-causing factors. The disease mechanisms could be categorized as pathological thickening and lipomatosis of the filum terminal (filum terminal type), arachnoid adhesion (arachnoid type), spina bifida with lipomyelomeningocele/meningocele (cele type), spinal lipoma (lipoma type), spinal deformity (bone type), and diastomyelia malformation (diastomyelia type). Patients with different subtypes showed complex and varied symptoms and required individualized treatment strategies.ConclusionSince C-TCS is attributable to different tether-related factors, C-TCS classification can guide individualized surgical treatment strategies to ensure complete release of the tethered cord and reduce surgical complications.

show abstract

“…In childhood, symptoms are often worsening during growth spurts; while among adults, trauma or stretching can elicit the complaints. 4 Considering TCS has a progressive course, surgical treatment cannot be avoided. In childhood, the diagnosis of tethered cord alone should be an indication for surgery for avoiding neurological deterioration.…”

Section: Introductionmentioning

confidence: 99%

“…In childhood, the diagnosis of tethered cord alone should be an indication for surgery for avoiding neurological deterioration. 4,5 Stabilization of neurological situation is achieved by untethering. Early intervention appears to result in a much greater recovery.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Tethered Cord Syndrome; Review of literature and Single Center Experience of nine cases

Shabaan,

Ghoraba,

Mokbel

et al. 2023

Pan Arab Journal of Neurosurgery

View full text Add to dashboard Cite

BACKGROUND: Tethered cord is abnormal fixation of the spinal cord below the first lumbar vertebra. It might be primary congenital or secondary resulting from scarring after intraspinal surgery. This anomaly results in progressive neurological, orthopedic, and urological dysfunctions. Considering the syndrome has a progressive course, surgical treatment cannot be avoided. OBJECTIVE:Our aim was to analyze the etiology, clinical manifestations and surgical outcome of tethered cord syndrome (TCS) in our center. PATIENTS AND METHODS:This retrospective study reviewed the data of all patients suffering from TCS in the records of Tanta University Hospitals from January 2019 till October 2021. Detailed clinical, radiological, surgical, intraoperative neurophysiological monitoring and follow up data were reviewed and analyzed. RESULTS:Nine patients were included in this study. Age ranged from 1-11 years with a mean age of 4.34 years. The causes of tethering included four lipomyelocele (44.4%), two dermal sinus (22.2%), one intradural lipoma (11.1%), one filum terminale lipoma (11.1%) and one case due to adhesions from previous surgery (11.1%). Four cases improved regarding motor and gait disturbance and no case deteriorated. Only two cases were complicated, one with wound infection and one with cerebrospinal fluid (CSF) leak. CONCLUSION:The TCS could be managed safely in the pediatric population. Efficacy of surgery could result in either clinical improvement or at least preventing further deterioration.

show abstract

Surgical treatment of tethered cord syndrome—comparing the results of surgeries with and without electrophysiological monitoring

Cited by 10 publications

References 22 publications

Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases

Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases

Classification of and individual treatment strategies for complex tethered cord syndrome

Pediatric Tethered Cord Syndrome; Review of literature and Single Center Experience of nine cases

Contact Info

Product

Resources

About