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Tethering lesions due to lipomas were maximally debulked, and occasionally the Cavitron Ultrasonic Surgical Aspirator was used (Valleylab, Boulder, Colorado, United States). Other clinical features at presentation included foot deformity in 9 patients (64%) and scoliosis in 4 patients (29%). Copyright 2007-2023. 7 Through the follow-up of 56 cases of adult TCS patients, Httmann et al[9] found that the pain relief rate was 86%, which was the most obvious symptoms that alleviated, remission rate of the lower limb spasticity was 7l%, and the remission rate of bladder dysfunction and feeling movement dysfunction was 44% and 35%, respectively. WebWhat happens after tethered spinal cord surgery? As for the postoperative complications, there were 4 cases (5%) of spinal fluid leakage, and the 2 patients were cured following vacuum aspiration and pressurized dressing; there were 6 cases (7%) showing delayed wound healing, mainly caused by spinal fluid leakage or fat liquefaction. J Neurosurg. 13. Of 10 cases with lipoma tethered spinal cord, corresponding symptoms were improved in 2 cases. For instance, if a traditional fusion surgery is performed, recovery time will be longer and thus differ from a less invasive, motion preserving spine procedure. By clinical analysis of 611 cases of patients with lipoma-oriented TCS, Cui et al[19] proved that patients with no symptoms and mild symptoms obtained satisfactory postoperative curative effects, according to Hoffman grading evaluation of preoperative and postoperative changes of symptoms, whereas the curative effect was relatively poor in patients showing severe symptoms after operation, early surgical treatment was therefore recommended to obtain better curative effect. Your child will be encouraged to urinate on their own. Medicine. WebAdult Tethered Cord Release - cns.org Open Access The Nexus online library is your free comprehensive resource for neurosurgical cases and approaches. Some patients may be misdiagnosed as having sciatica, a more common source of lower back . The mean age of the patients was 46 13 years (range 23-74 years) and the mean follow-up duration was 61 62 months. Abstract. There were no significant differences in age, sex, types of preoperative symptoms, or duration of follow-up between the two groups. Tethered cord means that the spinal cord movement is limited within the spinal column due to abnormal tissue attachments.