Surgical treatment of tethered cord syndrome in children
Zhang Huaqiu
Sun Wei
Gan Chao
Li Chaoxi
Shu Kai
Guo dongsheng
Chen Jingcao
Chen Jian
Wan Feng
Lei Ting
Abstract：Objective To explore the clinical features, treatment method, surgical outcome and prognosis of pediatric tethered cord syndrome (TCS). Methods Clinical data of 30 children with TCS undergoing microsurgery was analyzed retrospectively. Results The clinical pathological diagnosis showed lipoma type in 10 patients and non-lipoma type in 20. During the follow-up period of 0.5 to 4 years, the local phyma and malformation of the sinus tract were cured in all the patients, the motor function was improved in 9, sensory function improved in 5 and fecal and urinary dysfunction improved in 5. The postoperative compilations included wound healing difficulty in 4 patients, dysuria in 1 and numbness of lower limb in 2, and all the patients recovered well 1 to 3 months after operation. No long-term complications occurred. Conclusions Pediatric TCS is frequently associated with congenital malformation. Most of them could get good prognosis from early operation. The recovery of fecal and urinary function is more difficult than improvement of motor and sensory function.
Keywords：neural tube defectscongenital abnormalitiesprognosischild
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 148-150 )