title: Spinal cord stimulation for recurrent tethered cord syndrome in a pediatric patient: case report.
abstract: The authors present a patient with a lipomyelomeningocele and worsening back pain due to recurrent tethered cord syndrome. Because of the increased risk and unlikely improvement in symptoms with repeated surgical untethering, she was offered an alternative treatment with a trial of dorsal spinal cord stimulation. She had an excellent response to the percutaneous trial, and a permanent implant was placed, with good initial results. The authors review her case as well as the treatment options, indications, and outcomes for recurrent tethered cord syndrome.
authors.affiliation: Departments of 1 Surgery and.
authors.forename: Rachana
authors.initials: R
authors.lastname: Tyagi
authors.affiliation: Anesthesia, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Kloepping
authors.affiliation: Anesthesia, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
authors.forename: Shruti
authors.initials: S
authors.lastname: Shah
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D009436:Neural Tube Defects / Q000000981:diagnostic imaging* / Q000628:therapy*; D010147:Pain Measurement / Q000379:methods; D012008:Recurrence; D062187:Spinal Cord Stimulation / Q000379:methods*; D055815:Young Adult
keywords: FBSS = failed–back surgery syndrome; SCS = spinal cord stimulation; TCS = tethered cord syndrome; VAS = visual analog scale; lipomyelomeningocele; neuropathic pain; recurrent tethered cord; spinal cord stimulator; spine