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Revista Cubana de Neurología y Neurocirugía

ISSN 2225-4676 (Electronic)
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2013, Number 1

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Rev Cubana Neurol Neurocir 2013; 3 (1)

Characterization of occult tethered cord syndrome (2001-2011)

Goyenechea GF
Full text How to cite this article

Language: Spanish
References: 16
Page: 63-68
PDF size: 277.59 Kb.


Key words:

occult tethered cord syndrome, surgical treatment, tethered cord.

ABSTRACT

Objective: The Occult Tethered Cord Syndrome (OTCS) is a relatively new entity with highly satisfactory responses to the operative treatment, consisting in filum terminal section. With this in view we accomplished a prospective study, in order to examine the more important aspects related to the OTCS.
Methods: We studied 62 patients diagnosed and treated as themselves ages oscillated between the five thirty nine years. We analysed clinical manifestations and surgical results.
Results: Predominated paediatric patients and female, although in adolescence were in the males. The more frequent manifestations were sphincter dysfunction, pain and muscle skeletal alterations. From the radiological point of view: in simple x-ray pondered spine bifida and scoliosis and presence of posterior filum terminal in magnetic resonance. We got improvement in 100 % of the sick persons with the operative treatment and almost disappearance of the manifestations in over the 80 %.
Conclusion: patients with OTCS have good outcome with the surgical section of the filum terminal.


REFERENCES

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  2. Drake JM. Surgical management of the tethered spinal cord—walking the fine line. Neurosurg Focus. 2007;23(2):E4.

  3. Düz B, Gocmen S, Secer HI, Basal S, Gönül E. Tethered Cord Syndrome in Adulthood. J Spinal Cord Med. 2008;31(3):272–8.

  4. Fabiano AJ, Khan MF, Rozzelle CJ, Li V. Preoperative Predictors for Improvement after Surgical Untethering in Occult Tight Filum Terminale Syndrome. Pediatr Neurosurg. 2009;45:256–61.

  5. Filippidis AS, Kalani Y, Theodore N, Rekate HL. Spinal cord traction, vascular compromise, hypoxia, and metabolic derangements in the pathophysiology of tethered cord syndrome. Neurosurg Focus. 2010;29(1):E9.

  6. Kang JK, Yoon KJ, Ha SS, Lee IW, Jeun SS, Kang SG. Surgical Management and Outcome of Tethered Cord Syndrome in School-Aged Children, Adolescents, and Young Adults. J Korean Neurosurg Soc. 2009;46:468-71.

  7. Kim AH, Kasliwal MK, McNeish, Silvera M, Proctor MR, Smith ER. Features of the lumbar spine on magnetic resonance images following sectioning of filum terminale. J Neurosurg Pediatr. 2011;8:384-9.

  8. Ogiwara H, Lyszczarz A, Alden TD, Bowman RM, McLone DG, Tomita T. Retethering of transected fatty filum terminals. Neurosurg Pediatr. 2011;7:42-6.

  9. Ostling LR, Bierbrauer KS, Kuntz C. Outcome, reoperation, and complications in 99 consecutive children operated for tight or fatty filum. World Neurosurg. 2012;77(1):187-91.

  10. Selden NR. Minimal tethered cord syndrome: what’s necessary to justify a new surgical indication? Neurosurg Focus. 2007;23(2):E1.

  11. Solmaz I, Izci Y, Albayrak B, Cetinalp E, Kural C, Sengul G, 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.

  12. Steinbok P, MacNeily AE. Section of the filum for occult tethered cord síndrome. Toward a scientific answer. Neurosurg Focus. 2007;23(2):E5.

  13. Steinbok P, Kariyattil R, MacNeily AE. Comparison of section of filum terminele and non-surgical management for urinary incontinence in patients with normal conus position and possible occult tethered cord syndrome. Neurosurgery. 2007;61:550- 6.

  14. Stetler WR Jr, Par P, Sullivan S. Pathophysiology of adult tethered cord syndrome: review of the literature. Neurosurg Focus. 2010;29(1):E2.

  15. Yamada S, Won DJ. What is the true tethered cord syndrome? Childs Nerv Syst. 2007;23:371–5.

  16. Yamada S, Colohan ART, Won DJ. Letters to the Editors, Tethered Cord Syndrome. J Neurosurg Spine. 2009;10:79–81.




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Rev Cubana Neurol Neurocir. 2013;3