Lin JR,Xu XK,Li FC..Diagnosis and treatment of pediatric tethered cord syndrome with normal positioned conus medullaris.[J].Journal of Clinical Pediatric Surgery,,18():103-106.
Diagnosis and treatment of pediatric tethered cord syndrome with normal positioned conus medullaris.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 02
Page:
103-106
Column:
专题讨论
Date of publication:
2019-02-25
- Keywords:
- Neural Tube Defects; Filum Terminale; Conus Medullaris; Urination and Defecation Function Disturbance; Child
- CLC:
- R729 R651.2
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical manifestations,diagnosis and treatment of pediatric tethered cord syndrome (TCS) with normal positioned conus medullaris.MethodsThe clinicopathological parameters of 4 children diagnosed with TCS with normal positioned conus medullaris were reviewed retrospectively.ResultsIn all cases,the end of conus medullaris was above inferior margin of L2 vertebral body.There was no significant postoperative change of the position of conus.Intraoperatve findings showed a thickened (>2 mm) and thicker filum.None presented with dysfunction of lower extremities and no postoperative deterioration of motor or sensory function was observed.Two patients had improved bladder and bowel function while another two showed no improvement.ConclusionThe diagnosis of pediatric TCS with normal positioned conus should be based on the clinical manifestations and imaging findings.Resecting filum terminale is indicated once diagnosed.
Last Update:
2019-02-26