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Surgical Management of Tethered Spinal Cord Syndrome in Adults - Our Experience

Journal: International Journal of Science and Research (IJSR) (Vol.10, No. 11)

Publication Date:

Authors : ; ; ;

Page : 239-244

Keywords : Adult tethered cord syndrome; Tethered cord; Detethering; Occult spinal dysraphism; Pain; Weakness; Bowel and bladder involvement;

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Background: Tethered spinal cord syndrome is a rare entity that usually presents with multiple neurological symptoms including lower extremity pain, backache, lower extremity muscle weakness and bowel bladder disturbance, but unlike children pain is a predominant clinical symptom. Materials and Methods: Case records of 10 patients aged ?18 years who had undergone surgery with a diagnosis of TCS between 2013 and 2018 were reviewed. Patients who have underwent surgery earlier for tethered cord or for diastematomyelia/spinal dysraphism were excluded from the study. Results: Low backache was the most common presenting symptom. At the time of final follow - up, 7 (77.7%) patients had shown improvement in backache. Weakness improved by at least one grade in five (71.42%) patients. Bladder symptoms improved in two (40%) patients. Conclusion: In case of symptomatic patient with low - lying cord, surgical management with detethering of the spinal cord is an advisable option for better prognosis.

Last modified: 2022-02-15 18:49:35