Primary tethered cord syndrome: diagnosis and treatment of an insidious defect.
Failure to recognize the signs and symptoms of tethered cord syndrome in patients with spina bifida occulta can result in tragic consequences. Of patients with tethered spinal cord, 35% have bowel and/or bladder dysfunction. Scoliosis, foot or leg length discrepancies, pes cavus, and varus or valgus deformities also can occur. Early assessment and intervention by the neuroscience nurse who is familiar with these clinical signs can help prevent significant deformities and irreversible neurological deficits.
Cartwright
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University of Missouri-Columbia, University Hospital and Clinics, Division of Neurosurgery 65212, USA.
D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005530:Foot Deformities / Q000150:complications; D005532:Foot Deformities, Congenital / Q000150:complications; D006801:Humans; D007870:Leg Length Inequality / Q000150:complications; D009436:Neural Tube Defects / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D009730:Nursing Assessment / Q000379:methods*; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D011300:Preoperative Care / Q000379:methods / Q000451:nursing; D012600:Scoliosis / Q000150:complications; D016136:Spina Bifida Occulta / Q000150:complications*