title: Intradural mesh: an unusual cause of spinal cord tethering: case report.
abstract: 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.
authors.affiliation: Division of Neurosurgery, Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536-0298, USA. john_cole__iv@hotmail.com
authors.forename: John Sherman
authors.initials: JS
authors.lastname: Cole
authors.forename: Thomas
authors.initials: T
authors.lastname: Pittman
mesh_terms: 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
chemical_list: D014025:Titanium