Inappropriate surgical interventions for midline fusion defects cause secondary tethered cord symptoms: implications for natural history report of four cases.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Mehmet SelçukiDeniz Selcuki

Abstract

The causes of tethered spinal cord are various. In order to release the tethering effect of these malformations, the surgical interventions must include removal of all tethering components, reconstruction of the neural tube and sectioning of tight filum terminale as well. The cases reported in this paper have had an operation many years before for various developmental defects. After a certain period of time (5-10 years) of the first operation, the patients reapplied to the hospital with various symptoms of spinal cord tethering, either vertical or horizontal. At surgical intervention, it was noted that inappropriate surgical procedures caused retethering of the spinal cord in all patients. Postoperative period of all patients were uneventful. All patients declared relief in their symptoms. We would like to draw attention that untreated (or inappropriately treated) midline developmental defects will invariably cause syndrome of tethered cord. Consequently, prophylactic surgical untethering must be applied to all patients with developmental midline defects as soon as possible. It looks that tethered cord symptoms invariably appear as enough negative influence accumulates as the time passes. Elapsed time may vary but unpleasant e...Continue Reading

References

Apr 1, 1981·Journal of Neurosurgery·S YamadaD Sanders
May 1, 1997·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·I KoyanagiM Akino
Jul 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·F SahinS Saribaş
Apr 13, 2002·Neurosurgery·Loi K PhuongCorey Raffel
Jan 5, 2011·Journal of Neurosurgery. Pediatrics·Hideki OgiwaraTadanori Tomita

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Citations

May 23, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Murat GeyikCahit Kural
Dec 4, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mustafa BarutcuogluUmur

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