Reduction of caudal traction force using dural sac opening rather than spinal cord detethering for tethered cord syndrome caused by lipomyelomeningocele: a case report.
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| Abstract | BACKGROUND CONTEXT: A few reports have addressed tethered cord syndrome. Detethering surgery has been performed in these cases because abnormal tension on the spinal cord causes neurologic and urologic symptoms. PURPOSE: To discuss the surgical treatment of tethered cord syndrome with the belief that the tension on the cord can be decreased by shifting tethered cord to the dorsal side. STUDY DESIGN: A patient with tethered cord syndrome was surgically treated by shifting the tethered cord to the dorsal side by harnessing the lumbar lordosis instead of detethering. METHODS: We performed surgery to shift the tethered cord to the dorsal side by harnessing the lumbar lordosis to decrease the tension on the spinal cord. RESULTS: The tethered cord that was pressed to the ventral side because of a lipoma was shifted dorsally by laminectomy and opening of the dural sac. Pain and numbness were alleviated immediately after surgery. CONCLUSIONS: The method used in the present case, that is, shifting the tethered cord and lipoma to the dorsal side by harnessing the lumbar lordosis instead of detethering, is a viable treatment option for tethered cord syndrome.
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| Authors | Yasuaki Murata, Kohichi Kanaya, Hiroyoshi Wada, Keiji Wada, Masahiro Shiba, Yoshiharu Kato |
| Journal | The spine journal : official journal of the North American Spine Society (Spine J) Vol. 14 Issue 10 Pg. e1-3 (Oct 01 2014) ISSN: 1878-1632 [Electronic] United States |
| PMID | 24613376 (Publication Type: Case Reports, Journal Article) |
| Copyright | Copyright © 2014 Elsevier Inc. All rights reserved. |
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