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[Diagnosis and treatment of tethered cord syndrome in adults].
Zhonghua Wai Ke Za Zhi. 1998 Dec; 36(12):711-3.ZW

Abstract

OBJECTIVE

To study the clinical characteristics of tethered cord syndrome (TCS) in adults.

METHOD

18 patients with TCS were confirmed by preoperative MRI and were operated on for releasing of tethered conus. Pathological mechanism and main points of operation were analysed according to the operative findings and radiological data.

RESULT

The cord or conus were tethered by intradural tumors (6 patients), myelomeningocele (6), thickened filum terminale (3), diastematomyelia (2) and adhesion after operation (1). 14 of the 18 patients showed good results after follow-up for 8 months to 5 years.

CONCLUSION

Clinical manifestation and prognosis of TCS in adults are different from those of TCS in children. Attention should be paid to avoid additional injury to the conus and cauda equina during operation. The long course of disease and retethering of the conus lead to poor outcome.

Authors+Show Affiliations

Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

11825505

Citation

Shi, Z, et al. "[Diagnosis and Treatment of Tethered Cord Syndrome in Adults]." Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], vol. 36, no. 12, 1998, pp. 711-3.
Shi Z, Yuan W, Wang X, et al. [Diagnosis and treatment of tethered cord syndrome in adults]. Zhonghua Wai Ke Za Zhi. 1998;36(12):711-3.
Shi, Z., Yuan, W., Wang, X., Jia, L., & Li, J. (1998). [Diagnosis and treatment of tethered cord syndrome in adults]. Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery], 36(12), 711-3.
Shi Z, et al. [Diagnosis and Treatment of Tethered Cord Syndrome in Adults]. Zhonghua Wai Ke Za Zhi. 1998;36(12):711-3. PubMed PMID: 11825505.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnosis and treatment of tethered cord syndrome in adults]. AU - Shi,Z, AU - Yuan,W, AU - Wang,X, AU - Jia,L, AU - Li,J, PY - 2002/2/5/pubmed PY - 2003/7/15/medline PY - 2002/2/5/entrez SP - 711 EP - 3 JF - Zhonghua wai ke za zhi [Chinese journal of surgery] JO - Zhonghua Wai Ke Za Zhi VL - 36 IS - 12 N2 - OBJECTIVE: To study the clinical characteristics of tethered cord syndrome (TCS) in adults. METHOD: 18 patients with TCS were confirmed by preoperative MRI and were operated on for releasing of tethered conus. Pathological mechanism and main points of operation were analysed according to the operative findings and radiological data. RESULT: The cord or conus were tethered by intradural tumors (6 patients), myelomeningocele (6), thickened filum terminale (3), diastematomyelia (2) and adhesion after operation (1). 14 of the 18 patients showed good results after follow-up for 8 months to 5 years. CONCLUSION: Clinical manifestation and prognosis of TCS in adults are different from those of TCS in children. Attention should be paid to avoid additional injury to the conus and cauda equina during operation. The long course of disease and retethering of the conus lead to poor outcome. SN - 0529-5815 UR - https://www.unboundmedicine.com/medline/citation/11825505/[Diagnosis_and_treatment_of_tethered_cord_syndrome_in_adults]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0529-5815&year=1998&vol=36&issue=12&fpage=711 DB - PRIME DP - Unbound Medicine ER -