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

Document Type : Original Articles

Authors

1 neurosurgery department , Tanta university hospital

2 Neurosurgery Department, Tanta University, Egypt.

3 Department of Neurosurgery, Faculty of Medicine, Tanta University, Egypt

4 Neurosurgery Department, Tanta, University

Abstract

BACKGROUND: Tethered cord syndrome is an anomaly resulting in neurological progressive condition, orthopedic, and urological dysfunction. It is the abnormal fixation of the spinal cord below the L1 vertebrae which may be primary congenital or secondary resulting from scarring after intraspinal surgery.
AIM: Our aim was to present a single center experience throughout the current study analysis.
METHODS: Retrospective study analysis of all patients suffering tethered cord syndrome in our records of the university hospitals from January 2019 till October 2021. Detailed clinical, radiological, surgical, intraoperative neurophysiological monitoring and follow up data were inspected and analyzed for more comprehensive study.
RESULTS: Nine patients were available for this study. The age was from 1-11 years old with a mean of 4.34 year. Four cases improved regarding motor and gait disturbance. Five cases did not improve, but no case deteriorated.
CONCLUSION:
Tethered cord syndrome could be managed safely in the pediatric population. Efficacy of surgery could be either improvement or at least preventing further deterioration.

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