Yuan Bin,Chen Min,Wang Hangzhou..Surgical treatment of tethered spinal cord caused by terminal filum through an unilateral intervertebral space approach.[J].Journal of Clinical Pediatric Surgery,,18():95-98.
Surgical treatment of tethered spinal cord caused by terminal filum through an unilateral intervertebral space approach.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 02
Page:
95-98
Column:
专题讨论
Date of publication:
2019-02-25
- Keywords:
- Terminal Filum; Tethered Spinal Cord; Surgical Procedures; Operative; Therapy; Child
- CLC:
- R729 R651.2
- Document code:
- A
- Abstract:
- ObjectiveTo explore the approach and efficacy of accessing unilateral intervertebral space for terminal filum in children with tethered spinal cord (TCS).MethodsThe clinical data were reviewed for 32 TCS children with terminal filum operated from January 2015 to August 2018.ResultsAll children were operated via unilateral intervertebral space.Terminal filum was successfully dissected and bolt completely released.During hospitalization,2 children with intermittent pain of perineum and lower limbs were relieved immediately postoperation and 3 children with motor disorders of both lower limbs did not aggravate.During a followup period of 2-31 months,no new neurological deficit occurred.One case of dysuria and defecation showed no significant postoperative improvement while other children with dysuria improved.In 1 case,muscle strength grade zero recovered to grade IV in unilateral lower extremity at 6 months postoperation while another two cases of high muscle tension in lower extremities improved significantly after rehabilitation.ConclusionOperating through unilateral intervertebral space is both effective and miniinvasive so that it shortens operative duration,reduces hemorrhage,trauma and complications and does not damage spinal stability.
Last Update:
2019-02-26