Early identification of tethered cord syndrome: a clinical challenge.
Tethered cord syndrome (TCS) is a progressive clinical condition that arises from excessive spinal cord tension. The clinical signs and symptoms of TCS may be cutaneous, neurologic, musculoskeletal, genitourinary, and/or gastrointestinal. Patients also may be asymptomatic, which does not exclude the diagnosis of TCS. Although the exact etiology is unknown, early identification and lifelong surveillance or surgical treatment is an essential component of patient management. In this article we review the pathophysiology, various etiologies, clinical presentation, and long-term sequelae of TCS. This information will help pediatric nurse practitioners identify TCS early and anticipate the patient's needs and management requirements.
Tiffany
T
Sanchez
Rita Marie
RM
John
D003937:Diagnosis, Differential; D042241:Early Diagnosis; D054262:Gastrulation; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology*; D009436:Neural Tube Defects / Q000175:diagnosis* / Q000196:embryology / Q000503:physiopathology / Q000628:therapy; D009460:Neurologic Examination; D054261:Neurulation; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D059017:Primary Care Nursing; D013116:Spinal Cord / Q000473:pathology*; D016896:Treatment Outcome
Tethered cord syndrome; diagnosis; outcome; pediatrics; scoliosis; spinal dysraphism; treatment