Intradural mesh: an unusual cause of spinal cord tethering: case report.
A 13-year-old boy with a myelomeningocele experienced progressive foot deformity and lower-extremity pain while walking. Magnetic resonance imaging demonstrated a low-lying spinal cord with scarring near the site of a previous repair. During surgery, the terminal nerve roots were found to have scarred and adhered to a piece of metal mesh lying in the intradural space. The mesh had originally been placed to bridge a sacral ossification defect that was present at the initial closure of the child's myelomeningocele.
Cole
John Sherman
JS
Division of Neurosurgery, Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536-0298, USA. john_cole__iv@hotmail.com
Pittman
Thomas
T
D000293:Adolescent; D016477:Artifacts; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D009436:Neural Tube Defects / Q000209:etiology / Q000601:surgery*; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012447:Sacrum / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000601:surgery*; D013526:Surgical Mesh / Q000009:adverse effects*; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery; D014025:Titanium
D014025:Titanium