Outcome of untethering for symptomatic spina bifida occulta with lumbosacral spinal cord tethering in 31 patients: analysis of preoperative prognostic factors

Spine Journal

Volumn 8, Issue 4, 2008, Pages 630-638

  Tseng, Jen Ho ^a   Kuo, Meng Fai ^a   Kwang Tu, Yong ^a   Tseng, Ming Yuan ^b  

^a NATIONAL TAIWAN UNIVERSITY HOSPITAL   (Taiwan)

^b UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

Lipoma; Lumbosacral; Spina bifida occulta; Tethered cord; Untethering

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; CLINICAL ARTICLE; DISABILITY; FEMALE; FOLLOW UP; HUMAN; INFANT; LIMB DEFECT; MALE; MUSCLE WEAKNESS; NEUROLOGICAL COMPLICATION; NEWBORN; OCCULT SPINAL DYSRAPHISM; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROGNOSIS; SYMPTOM; TETHERED CORD SYNDROME; TREATMENT OUTCOME; URINARY TRACT DISEASE;

ADOLESCENT; ADULT; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; LIPOMA; LOGISTIC MODELS; LUMBAR VERTEBRAE; MALE; MENINGOMYELOCELE; NEUROSURGICAL PROCEDURES; PROGNOSIS; RECOVERY OF FUNCTION; RETROSPECTIVE STUDIES; SACRUM; SPINA BIFIDA OCCULTA; SPINAL CORD; SPINAL NEOPLASMS; TIME FACTORS; TREATMENT OUTCOME;

EID: 45949095704     PISSN: 15299430     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.spinee.2005.11.005     Document Type: Article

References (22)

1. Harrison M.J., Mitnick R.J., Rosenblum B.R., and Rothman A.S. Leptomyelolipoma: analysis of 20 cases. J Neurosurg 73 (1990) 360-367
2. La Marca F., Grant J.A., Tomita T., and McLone D.G. Spinal lipomas in children: outcome of 270 procedures. Pediatr Neurosurg 26 (1997) 8-16
3. Kulkarni A.V., Pierre-Kahn A., and Zerah M. Conservative management of asymptomatic spinal lipomas of the conus. Neurosurgery 54 (2004) 868-873
4. Balkan E., Kilic N., Avsar I., Boyaci S., Aksoy K., and Dogruyol H. Urodynamic findings in the tethered spinal cord: the effect of tethered cord division on lower urinary tract functions. Eur J Pediatr Surg 11 (2001) 116-119
5. Byrne R.W., Hayes E.A., George T.M., and McLone D.G. Operative resection of 100 spinal lipomas in infants less than 1 year of age. Pediatr Neurosurg 23 (1995) 182-187
6. Herman J.M., McLone D.G., Storrs B.B., and Dauser R.C. Analysis of 153 patients with myelomeningocele or spinal lipoma reoperated upon for a tethered cord. Pediatr Neurosurg 9 (1993) 243-249
7. Pierre-Kahn A., Zerah M., Renier D., et al. Congenital lumbosacral lipomas. Childs Nerv Syst 13 (1997) 298-335
8. Colak A., Pollack I.F., and Albright A.L. Recurrent tethering: a common long-term problem after lipomyelomeningocele repair. Pediatr Neurosurg 29 (1998) 184-190
9. Schoenmakers M.A., Gooskens R.H., Gulmans V.A., et al. Long-term outcome of neurosurgical untethering on neurosegmental motor and ambulation levels. Dev Med Child Neurol 45 (2003) 551-555
10. Kang J.K., Lee K.S., Jeun S.S., Lee I.W., and Kim M.C. Role of surgery for maintaining urological function and prevention of retethering in the treatment of lipomeningomyelocele: experience recorded in 75 lipomeningomyelocele patients. Childs Nerv Syst 19 (2003) 23-29
11. Royal College of Physicians. Independent ethical review of studies involving personal medical records. Report of a working group to the Royal College of Physicians Committee on Ethical Issues in Medicine. J R Coll Physicians Lond 28 (1994) 439-443
12. Brewster D.H., Bain M.R., Chalmers J.W., Gould A., Dewar J.A., and George W.D. Informed consent: explicit consent is not needed for studies using medical records. BMJ 317 (1998) 948
13. Barson A.J. The vertebral level of termination of the spinal cord during normal and abnormal development. J Anat 106 (1970) 489-497
14. Wehby M.C., O'Hollaren P.S., Abtin K., Hume J.L., and Richards B.J. Occult tight filum terminale syndrome: results of surgical untethering. Pediatr Neurosurg 40 (2004) 51-57
15. Feldbrin Z., Gilai A.N., Ezra E., Khermosh O., Kramer U., and Wientroub S. Muscle imbalance in the aetiology of idiopathic club foot: an electromyographic study. J Bone Joint Surg Br 77 (1995) 596-601
16. Souweidane M.M., and Drake J.M. Retethering of sectioned fibrolipomatous filum terminales: report of two cases. Neurosurgery 42 (1998) 1390-1393
17. Aliredjo R.P., de Vries J., Menovsky T., Grotenhuis J.A., and Merx J. The use of Gore-Tex membrane for adhesion prevention in tethered spinal cord surgery: technical case reports. Neurosurgery 44 (1999) 674-677
18. Barolat G., Schaefer D., and Zeme S. Recurrent spinal cord tethering by sacral nerve root following lipomyelomeningocele surgery. J Neurosurg 75 (1991) 143-145
19. Oi S., Yamada H., and Matsumoto S. Tethered cord syndrome versus low-placed conus medullaris in an over-distended spinal cord following initial repair for myelodysplasia. Childs Nerv Syst 6 (1990) 264-269
20. Tuuha S.E., Aziz D., Drake J., Wales P., and Kim P.C. Is surgery necessary for asymptomatic tethered cord in anorectal malformation patients?. J Pediatr Surg 39 (2004) 773-777
21. Iskandar B.J., Fulmer B.B., Hadley M.N., and Oakes W.J. Congenital tethered spinal cord syndrome in adults. J Neurosurg 88 (1998) 958-961
22. Pang D., and Wilberger J.E. Tethered cord syndrome in adults. J Neurosurg 57 (1982) 32-47