title: Management of recurrent adult tethered cord syndrome.
abstract: Recurrent tethered cord syndrome (TCS) can lead to significant progressive disability in adults. The diagnosis of TCS is made with a high degree of clinical suspicion. In the adult population, many patients receive inadequate care unless they are seen at a multidisciplinary clinic. Successful detethering procedures require careful intradural dissection and meticulous wound and dural closure. With multiple revision procedures, vertebral column shortening has become an appropriate alternative to surgical detethering.
authors.affiliation: Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Shih
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Halpin
authors.forename: Aruna
authors.initials: A
authors.lastname: Ganju
authors.forename: John C
authors.initials: JC
authors.lastname: Liu
authors.forename: Tyler R
authors.initials: TR
authors.lastname: Koski
mesh_terms: D000328:Adult; D002557:Cerebrospinal Fluid Shunts / Q000379:methods; D004388:Dura Mater / Q000601:surgery; D005260:Female; D006801:Humans; D009436:Neural Tube Defects / Q000000981:diagnostic imaging / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery; D055502:Secondary Prevention; D016135:Spinal Dysraphism / Q000601:surgery; D013131:Spine / Q000000981:diagnostic imaging / Q000601:surgery; D013353:Subdural Effusion / Q000601:surgery; D016896:Treatment Outcome