Surgical treatment supposed natural history of the tethered cord with occult spinal dysraphism

1997 ◽  
Vol 13 (5) ◽  
pp. 268-274 ◽  
Author(s):  
I. Koyanagi ◽  
Yoshinobu Iwasaki ◽  
Kazutoshi Hida ◽  
Hiroshi Abe ◽  
T. Isu ◽  
...  
2007 ◽  
Vol 23 (2) ◽  
pp. 1-9 ◽  
Author(s):  
Cuong J. Bui ◽  
R. Shane Tubbs ◽  
W. Jerry Oakes

✓The treatment of a patient with symptoms of a tethered spinal cord and in whom a fatty infiltrated terminal filum is found is controversial. The authors review their experience and the literature regarding this aspect of occult spinal dysraphism. From experience, transection of a fatty terminal filum in patients with symptoms related to excessive caudal cord tension is a minor procedure that generally yields good results. The most problematic issue in the literature is what patients and symptoms are best suited to surgical treatment.


2007 ◽  
Vol 23 (2) ◽  
pp. 1-12 ◽  
Author(s):  
Michael A. Finn ◽  
Marion L. Walker

✓Spinal lipomas, particularly lipomas of the conus medullaris and terminal filum, are the most common form of occult spinal dysraphism and represent a wide spectrum of disease with regard to anatomy, clinical presentation, and treatment options. These lesions, however, are united by a similar embryology and pathological mechanism by which symptoms arise. Recently, the treatment of these lesions has generated much controversy, with some physicians advocating surgical treatment for all patients regardless of symptoms and others proposing that surgery be withheld until symptoms develop. The authors discuss lumbosacral spinal lipomas, with particular attention to the theories of their origin, anatomical and pathological features, and treatment options, including a review of current controversies.


Neurosurgery ◽  
2002 ◽  
Vol 50 (5) ◽  
pp. 989-995 ◽  
Author(s):  
Loi K. Phuong ◽  
Kimberly A. Schoeberl ◽  
Corey Raffel

Neurology ◽  
1998 ◽  
Vol 50 (6) ◽  
pp. 1761-1765 ◽  
Author(s):  
L. Cornette ◽  
C. Verpoorten ◽  
L. Lagae ◽  
F. Van Calenbergh ◽  
C. Plets ◽  
...  

Author(s):  
Shahryar Noordin ◽  
Andrew Howard

♦ All children who complain of knee symptoms must be assessed for ipsilateral hip and spine pathology♦ Congenital or persistent lateral dislocation of the patella and obligatory dislocation of the patella have two different clinical presentations: surgical treatment (if required) is often complex♦ The natural history of stable osteochondritis dissecans lesions is generally favourable in a child with open physes.


1999 ◽  
pp. 1405-1406
Author(s):  
L. Cornette ◽  
C. Verpoorten ◽  
L. Lagae ◽  
F. Van Calenbergh ◽  
C. Plets ◽  
...  

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Niki Kanaroglou ◽  
Elias Wehbi ◽  
Joseph M Gleason ◽  
Reva Matta ◽  
Joao Pippi Salle ◽  
...  

2017 ◽  
Vol 5 (3) ◽  
pp. 232596711769433 ◽  
Author(s):  
Joseph A. Gil ◽  
Steven DeFroda ◽  
Brett D. Owens

Traumatic anterior glenohumeral subluxations comprise the majority of glenohumeral instability events and are endemic in young athletes. Unlike the definitive complete dislocation event, subluxation events may often be more subtle in presentation and, therefore, may be overlooked by clinicians. Glenohumeral subluxation events are associated with a high rate of labral tears as well as humeral head defects. While less is known of the natural history of these injuries, young athletes are at risk for recurrent instability events if not properly diagnosed and treated. While reports of surgical treatment outcomes isolated to subluxation events are limited, arthroscopic and open Bankart repair have been shown to result in excellent outcomes. The purpose of this paper is to review the etiology and pathoanatomy of traumatic anterior glenohumeral subluxations as well as to review the appropriate evaluation and management of patients with this injury.


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