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Retethering of sectioned fibrolipomatous filum terminale in an adult: case report and review of the literature.
Spine J. 2010 Aug; 10(8):e1-4.SJ

Abstract

BACKGROUND CONTEXT

Recurrent tethering of the spinal cord is a rare late complication after sectioning of a fibrolipomatous filum terminale that has only been reported in two pediatric cases.

PURPOSE

To report adult-onset recurrent tethering of the spinal cord after surgical sectioning of a fibrolipomatous filum terminale and review the literature in an attempt to identify similar cases.

STUDY DESIGN/SETTING

The study was designed to be a case report and literature review.

METHODS

A 21-year-old woman with a history of previous surgical repair for a tethered spinal cord secondary to a fibrolipomatous filum terminale presented with low back and right lower extremity pain, urinary frequency, and fecal incontinence. Progressive bladder and sphincter dysfunction was confirmed on urodynamic testing. Lumbar spine magnetic resonance imaging demonstrated a low-lying and dorsally positioned conus medullaris.

RESULTS

The patient underwent neurosurgical exploration of the previous site of sectioning with rerelease of the proximal fatty filum stump from dorsal dural adhesions. Postoperatively, her pain resolved, and her bowel and bladder control improved.

CONCLUSIONS

Sectioning of both abnormal and apparently normal fila has become a relatively common procedure in pediatric neurosurgery. As more children with this surgical history mature and present for neurosurgical consultation as adults, retethering must be considered in the differential diagnosis.

Authors+Show Affiliations

Department of Neurosurgery, Women & Children's Hospital of Buffalo, Kaleida Health, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY 14222, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20650405

Citation

Stone, Jonathan J., and Curtis J. Rozzelle. "Retethering of Sectioned Fibrolipomatous Filum Terminale in an Adult: Case Report and Review of the Literature." The Spine Journal : Official Journal of the North American Spine Society, vol. 10, no. 8, 2010, pp. e1-4.
Stone JJ, Rozzelle CJ. Retethering of sectioned fibrolipomatous filum terminale in an adult: case report and review of the literature. Spine J. 2010;10(8):e1-4.
Stone, J. J., & Rozzelle, C. J. (2010). Retethering of sectioned fibrolipomatous filum terminale in an adult: case report and review of the literature. The Spine Journal : Official Journal of the North American Spine Society, 10(8), e1-4. https://doi.org/10.1016/j.spinee.2010.05.012
Stone JJ, Rozzelle CJ. Retethering of Sectioned Fibrolipomatous Filum Terminale in an Adult: Case Report and Review of the Literature. Spine J. 2010;10(8):e1-4. PubMed PMID: 20650405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retethering of sectioned fibrolipomatous filum terminale in an adult: case report and review of the literature. AU - Stone,Jonathan J, AU - Rozzelle,Curtis J, PY - 2010/01/26/received PY - 2010/05/22/accepted PY - 2010/7/24/entrez PY - 2010/7/24/pubmed PY - 2010/11/3/medline SP - e1 EP - 4 JF - The spine journal : official journal of the North American Spine Society JO - Spine J VL - 10 IS - 8 N2 - BACKGROUND CONTEXT: Recurrent tethering of the spinal cord is a rare late complication after sectioning of a fibrolipomatous filum terminale that has only been reported in two pediatric cases. PURPOSE: To report adult-onset recurrent tethering of the spinal cord after surgical sectioning of a fibrolipomatous filum terminale and review the literature in an attempt to identify similar cases. STUDY DESIGN/SETTING: The study was designed to be a case report and literature review. METHODS: A 21-year-old woman with a history of previous surgical repair for a tethered spinal cord secondary to a fibrolipomatous filum terminale presented with low back and right lower extremity pain, urinary frequency, and fecal incontinence. Progressive bladder and sphincter dysfunction was confirmed on urodynamic testing. Lumbar spine magnetic resonance imaging demonstrated a low-lying and dorsally positioned conus medullaris. RESULTS: The patient underwent neurosurgical exploration of the previous site of sectioning with rerelease of the proximal fatty filum stump from dorsal dural adhesions. Postoperatively, her pain resolved, and her bowel and bladder control improved. CONCLUSIONS: Sectioning of both abnormal and apparently normal fila has become a relatively common procedure in pediatric neurosurgery. As more children with this surgical history mature and present for neurosurgical consultation as adults, retethering must be considered in the differential diagnosis. SN - 1878-1632 UR - https://www.unboundmedicine.com/medline/citation/20650405/Retethering_of_sectioned_fibrolipomatous_filum_terminale_in_an_adult:_case_report_and_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1529-9430(10)00386-4 DB - PRIME DP - Unbound Medicine ER -