A simple method to deter retethering in patients with spinal dysraphism

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
R Shane Tubbs, W Jerry Oakes

Abstract

The authors describe a technique that may be of benefit to patients with spinal dysraphism and a tethered spinal cord. Twenty pediatric patients (ten initial operations and ten reoperations) after the detethering of their spinal cord had intradural retention sutures placed with subsequent duraplasty using autologous thoracolumbar fascia. To date, no patient has had signs or symptoms or recurrence of signs or symptoms of a tethered spinal cord. No complications have resulted from this maneuver. The mean follow-up time for this cohort was 8 years. The advantages of this intervention include maintaining a relatively normal position of the spinal cord within the thecal sac, thus decreasing the potential adherence of the dorsally scarred aspect of the dysmorphic cord to an overlying graft whether synthetic or native.

References

May 1, 1991·Journal of Neurosurgery·H SakamotoS Nishimura
Jan 1, 1995·Pediatric Neurosurgery·B ZideF J Epstein
Dec 1, 1995·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·G S Liptak
Jun 24, 2004·Neurosurgical Focus·Roger J Hudgins, C Lynn Gilreath

❮ Previous
Next ❯

Citations

Dec 19, 2007·Surgical and Radiologic Anatomy : SRA·Marios LoukasR Shane Tubbs
May 7, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Roger SamuelsGeorge I Jallo
May 16, 2009·Journal of Neurosurgery. Spine·Michael G Fehlings, Babak Arvin
Jul 3, 2010·Neurosurgical Focus·Nader PouratianJohn A Jane
Nov 3, 2010·Journal of Neurosurgery. Pediatrics·Vivek A MehtaEdward S Ahn
Jan 17, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ganeshwaran Shivapathasundram, Marcus A Stoodley
Mar 31, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Matthew ThuyAdam Fowler
Apr 28, 2020·Journal of Korean Neurosurgical Society·Ji Yeoun LeeKyu-Chang Wang
Jun 1, 2007·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·M Colleen Brand
Oct 20, 2020·Curēus·Leopoldo Mandic Ferreira FurtadoCamila Moura de Sousa

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved