Spinal cord transection for definitive untethering of repetitive tethered cord.
In certain highly selected circumstances, division of a distally nonfunctional or dysfunctional cord can be a means of definitive untethering that spares and protects more rostral neurological function and results in definitive untethering. The authors reviewed their institutional experience with such cases and evaluated the limited literature. Based on their experience, treatment can be effective in carefully selected patients who undergo spinal cord transection, and the rate of repetitive tethered spinal cord can be decreased.
Blount
Jeffrey P
JP
Section of Pediatric Neurosurgery, University of Alabama at Birmingham and Children's Hospital, Birmingham, Alabama 35233, USA.
Tubbs
R Shane
RS
Wellons
John C
JC
Acakpo-Satchivi
Leslie
L
Bauer
David
D
Oakes
W Jerry
WJ
D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009436:Neural Tube Defects / Q000601:surgery* / Q000652:urine*; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications; D016896:Treatment Outcome