title: Fully Endoscopic Interlaminar Detethering of Spinal Cord in Tethered Cord Syndrome: A Case Report and Technical Description.
abstract: A 19-year-old man presented with long lasting significant back and bilateral leg pain, and hypoesthesia on the lateral side of both his thighs for which he had undergone several courses of medication and bouts of physical therapy treatment. His urodynamic parameters were normal and lumbar magnetic resonance imaging (MRI) revealed a low-lying conus at the L2-3 level with a thickened fatty filum, and he was diagnosed as having tethered cord syndrome (TCS). The patient underwent a fully endoscopic detethering through an interlaminar approach with intraoperative neurophysiological monitoring. The thickened filum terminale was located and then the filum was coagulated and cut. The patient showed a significant improvement in his preoperative symptoms, and reported no problems at 2-year follow-up. Detethering of the spinal cord in tethered cord syndrome using a fully endoscopic interlaminar approach provides the advantages of minimal damage to tissues, less postoperative discomfort, early postoperative recovery, and a shorter hospitalization.
authors.affiliation: Department of Neurosurgery, Neurosurgery Clinic, Emsey Hospital, Ïstanbul, Turkey.
authors.forename: Mehmet Sabri
authors.initials: MS
authors.lastname: Gürbüz
authors.affiliation: Department of Neurosurgery, Neurosurgery Clinic, Emsey Hospital, Ïstanbul, Turkey.
authors.forename: Salih
authors.initials: S
authors.lastname: Aydín
authors.affiliation: Department of Anesthesiology, Anesthesiology Clinic, Emsey Hospital, Ïstanbul, Turkey.
authors.forename: Deniz
authors.initials: D
authors.lastname: Bozdoğan
keywords: Endoscopic detethering; Endoscopic interlaminar technique; Tethered cord syndrome
references.citation: Surg Neurol. 1999 Oct;52(4):362-9; discussion 370
references.pmid: 10555842
references.citation: Childs Nerv Syst. 2009 May;25(5):577-81
references.pmid: 19212778
references.citation: Br J Neurosurg. 1996 Jun;10(3):253-60
references.pmid: 8799535
references.citation: Childs Nerv Syst. 2002 Oct;18(9-10):513-7
references.pmid: 12382177
references.citation: Childs Nerv Syst. 1994 Jul;10(5):312-20
references.pmid: 7954500
references.citation: J Spinal Disord Tech. 2004 Feb;17(1):16-20
references.pmid: 14734971
references.citation: Childs Nerv Syst. 2003 Jan;19(1):23-9
references.pmid: 12541082
references.citation: J Neurosci Nurs. 2000 Aug;32(4):210-5
references.pmid: 10994534
references.citation: Neurol Res. 2004 Oct;26(7):735-40
references.pmid: 15494114
references.citation: Neurosurgery. 2002 May;50(5):989-93; discussion 993-5
references.pmid: 11950401
references.citation: Neurosurg Focus. 2007;23(2):E3
references.pmid: 17961009
references.citation: Neurosurgery. 2002 Nov;51(5):1119-26; discussion 1126-7
references.pmid: 12383356
references.citation: J Spinal Disord. 2000 Aug;13(4):319-23
references.pmid: 10941891
references.citation: Childs Nerv Syst. 2000 Jul;16(7):457-61
references.pmid: 10958558
references.citation: Minim Invasive Neurosurg. 2007 Dec;50(6):370-3
references.pmid: 18210362
references.citation: Pediatr Neurosurg. 1993 Sep-Oct;19(5):243-9
references.pmid: 8398848
references.citation: Childs Nerv Syst. 2003 Nov;19(10-11):716-21
references.pmid: 14557893
references.citation: Neurol Res. 2004 Oct;26(7):722-6
references.pmid: 15494111
references.citation: Neurol Res. 2004 Oct;26(7):741-4
references.pmid: 15494115
references.citation: Neurology. 1998 Jun;50(6):1761-5
references.pmid: 9633724
references.citation: J Pediatr Orthop. 1997 Nov-Dec;17(6):773-6
references.pmid: 9591981
references.citation: Neurol India. 2014 Mar-Apr;62(2):137-43
references.pmid: 24823721
references.citation: Minim Invasive Neurosurg. 2002 Mar;45(1):41-4
references.pmid: 11932824
references.citation: Neurosurgery. 2004 Feb;54(2):375-9; discussion 379-80
references.pmid: 14744284
references.citation: Minim Invasive Neurosurg. 1998 Mar;41(1):5-9
references.pmid: 9565957
references.citation: Neurosurg Rev. 2008 Oct;31(4):371-83; discussion 384
references.pmid: 18506494
references.citation: J Neurosurg. 1998 Jun;88(6):958-61
references.pmid: 9609288
references.citation: J Neurosurg. 2001 Oct;95(2 Suppl):173-8
references.pmid: 11599833
references.citation: Acta Neurochir (Wien). 2000;142(10):1111-5
references.pmid: 11129532
references.citation: Pediatr Neurosurg. 2004 Mar-Apr;40(2):51-7; discussion 58
references.pmid: 15292632
references.citation: J Neurosurg. 1981 Apr;54(4):494-503
references.pmid: 6259301
references.citation: Pediatr Neurosurg. 2001 Mar;34(3):114-20
references.pmid: 11359098
references.citation: J Neurosurg. 1996 Oct;85(4):555-9
references.pmid: 8814155