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Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience.
Turk Neurosurg. 2011; 21(4):516-21.TN

Abstract

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+Show Affiliations

Gulhane Military Medical Academy, Department of Neurosurgery, Ankara, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22194109

Citation

Solmaz, Ilker, et al. "Tethered Cord Syndrome in Childhood: Special Emphasis On the Surgical Technique and Review of the Literature With Our Experience." Turkish Neurosurgery, vol. 21, no. 4, 2011, pp. 516-21.
Solmaz I, Izci Y, Albayrak B, et al. Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience. Turk Neurosurg. 2011;21(4):516-21.
Solmaz, I., Izci, Y., Albayrak, B., Cetinalp, E., Kural, C., Sengul, G., Gocmez, C., Pusat, S., & Tuzun, Y. (2011). Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience. Turkish Neurosurgery, 21(4), 516-21. https://doi.org/10.5137/1019-5149.JTN .4394-11.1
Solmaz I, et al. Tethered Cord Syndrome in Childhood: Special Emphasis On the Surgical Technique and Review of the Literature With Our Experience. Turk Neurosurg. 2011;21(4):516-21. PubMed PMID: 22194109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience. AU - Solmaz,Ilker, AU - Izci,Yusuf, AU - Albayrak,Baki, AU - Cetinalp,Eralp, AU - Kural,Cahit, AU - Sengul,Goksin, AU - Gocmez,Cuneyt, AU - Pusat,Serhat, AU - Tuzun,Yusuf, PY - 2011/12/24/entrez PY - 2011/12/24/pubmed PY - 2012/4/25/medline SP - 516 EP - 21 JF - Turkish neurosurgery JO - Turk Neurosurg VL - 21 IS - 4 N2 - 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. SN - 1019-5149 UR - https://www.unboundmedicine.com/medline/citation/22194109/Tethered_cord_syndrome_in_childhood:_special_emphasis_on_the_surgical_technique_and_review_of_the_literature_with_our_experience_ L2 - http://www.turkishneurosurgery.org.tr/pubmed.php3?year=2011&volume=21&issue=4&page=516 DB - PRIME DP - Unbound Medicine ER -