AIM: Surgery is the treatment of choice for children who had tethered cord syndrome (TCS). However, a detailed technique for the release of spinal cord is not described yet. The aims of this study are to present our series of TCS in children and to focus on the details of surgical technique. MATERIAL and METHODS: Forty-nine children with tethered cord syndrome underwent surgical treatment for the release of spinal cord between 2004 and 2009. The mean age was 4.6 years (2 days-13 years). Twenty (40.8%) patients were female and 29 (59.2%) were male. Among the 49 children, 41 (83.7%) had different spinal malformations and 8 (16.3%) had no associated lesion. Sectioning of the filum terminale, cutting the arachnoid and fibrous bands, protection of the rootlets and correction of the associated malformations was the standard surgical method to release the spinal cord. RESULTS: Neurological improvement was observed in 4 (8.2%) patients, while the neurological status was unchanged in the others. Cerebrospinal fluid fistula was the main complication and was observed in 3 patients. No mortality or neurological deterioration was encountered. CONCLUSION: Spinal cord release with appropriate technique seems to be beneficial in maintaining neurological functioning in children with TCS.
AIM: Surgery is the treatment of choice for children who had tethered cord syndrome (TCS). However, a detailed technique for the release of spinal cord is not described yet. The aims of this study are to present our series of TCS in children and to focus on the details of surgical technique. MATERIAL and METHODS: Forty-nine children with tethered cord syndrome underwent surgical treatment for the release of spinal cord between 2004 and 2009. The mean age was 4.6 years (2 days-13 years). Twenty (40.8%) patients were female and 29 (59.2%) were male. Among the 49 children, 41 (83.7%) had different spinal malformations and 8 (16.3%) had no associated lesion. Sectioning of the filum terminale, cutting the arachnoid and fibrous bands, protection of the rootlets and correction of the associated malformations was the standard surgical method to release the spinal cord. RESULTS: Neurological improvement was observed in 4 (8.2%) patients, while the neurological status was unchanged in the others. Cerebrospinal fluid fistula was the main complication and was observed in 3 patients. No mortality or neurological deterioration was encountered. CONCLUSION: Spinal cord release with appropriate technique seems to be beneficial in maintaining neurological functioning in children with TCS.
Authors: Murat Geyik; Mehmet Alptekin; Ibrahim Erkutlu; Sırma Geyik; Cem Erbas; Serhat Pusat; Cahit Kural Journal: Childs Nerv Syst Date: 2015-05-22 Impact factor: 1.475
Authors: Murat Geyik; Sırma Geyik; Haluk Şen; Serhat Pusat; Mehmet Alptekin; Ali Erdem Yılmaz; Mert Nazik; İbrahim Erkutlu Journal: Childs Nerv Syst Date: 2016-03-11 Impact factor: 1.475
Authors: Abhiraj D Bhimani; Ashley N Selner; Jay B Patel; Jonathan G Hobbs; Darian R Esfahani; Mandana Behbahani; Zaid Zayyad; Demetrios Nikas; Ankit I Mehta Journal: J Spine Surg Date: 2019-09
Authors: Luphin Hode; Sourou Bruno Noukpozounkou; Josué Dejinnin Georges Avakoudjo; Thierry Alihonou; Beaudelaire Romulus Assan; Séraphin Antoine Gbenou; Michel Armand Fiogbe Journal: Pan Afr Med J Date: 2019-11-15