How successful is tethered cord surgery?
Previous studies of surgical detethering in adult patients with a tethered cord showed that pain is the most effectively treated symptom with success rates of 48%–100%. Other deficits, such as motor weakness and sphincter dysfunction, are more difficult to treat.
Is a tethered spinal cord rare?
Tethered cord syndrome is a rare neurological condition. The severity of the condition and the associated signs and symptoms vary from person to person. In some cases, symptoms may be present at birth ( congenital ), while others may not experience symptoms until later in adulthood.
What happens if a tethered spinal cord goes untreated?
Patients with untreated tethered cord will continue to experience their current symptoms, and their motor and sensory function may worsen. Particularly in children, lengthening of the spine with growth can lead to paraplegia and loss of bowel and bladder function.
Can tethered cord cause paralysis?
In milder cases, this pull on the spinal cord is minimal and typically does not lead to damage. That being said, patients with more severe cases may exhibit the symptoms of a spinal cord injury, such as lower body paralysis or a loss of sensation.
How long does tethered spinal cord surgery take?
The procedure lasts two to four hours. Although each child’s experience is different, a typical hospital stay after a tethered cord release lasts four to seven days. If your child has the procedure, they will likely be hospitalized in the Neurosciences Unit. Here, they rest flat in bed for 24 to 72 hours after surgery.
Is tethered cord a form of spina bifida?
In most cases, the condition becomes worse over time. Tethered spinal cord is common in children with spina bifida, but it also occurs in children who don’t have this condition. The good news is that tethered spinal cord is a very treatable condition, especially when diagnosed and treated early.
Is a tethered spinal cord hereditary?
Since tethered cord syndrome is a physiological disorder and develops only when it is abnormally stretched, it cannot be connected to genetic factors, unless the congenital susceptibility of spinal cord to oxidative metabolic impairment is proven.
Is tethered cord bad?
In children, a tethered cord can force the spinal cord to stretch as they grow. In adults the spinal cord stretches in the course of normal activity, usually leading to progressive spinal cord damage if untreated. TCS is often associated with the closure of a spina bifida.
Why do I have a dimple above my bum?
The indentations are over the joint where your pelvis and spine meet, just above your butt. They’re created by a short ligament that attaches your superior iliac spine — the outside edge the iliac bone — and your skin. These back dimples are also called dimples of Venus.
Can you see tethered cord on ultrasound?
Tethered cord is always a feature of open spina bifida and can be seen using prenatal ultrasound (Fig. 7).