scholarly journals Reinforced conservative management of post-dural puncture headache in a patient with a rare case of tethered cord syndrome using an abdominal binder: a case report

2020 ◽  
Author(s):  
Seong-Ho Ok ◽  
Miyeong Park ◽  
Hokyung Yu ◽  
Jiyoung Park ◽  
Ju-Tae Sohn ◽  
...  
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Conservative Management ◽  
Rare Case ◽  
Dural Puncture ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Post Dural Puncture Headache ◽  
Csf Leakage ◽  
Careful Physical Examination

Careful physical examination of the site of procedure before the caudal pain procedure should be performed because it could show the patient’s abnormal anatomical conditions. An abdominal binder could be used effectively in a patient showing CSF leakage in the coccygeal area, which is not controlled by conventional compressive dressing.

A Lipomyelomeningocele with Tethered Cord Syndrome Associated with Scoliosis and Clubfoot: A Rare Case Report

2013 ◽  
Vol 12 (1) ◽  
Author(s):  
Haradhan Deb Nath ◽  
Kanak Kanti Barua ◽  
Abu Naser Rizvi ◽  
Hafizul Amin ◽  
Abu Saleh Md. Abu Obaida ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Rare Case Report

Spine-shortening vertebral osteotomy in a patient with tethered cord syndrome and a vertebral fracture

2008 ◽  
Vol 9 (1) ◽  
pp. 62-66 ◽  
Author(s):  
Haruo Kanno ◽  
Toshimi Aizawa ◽  
Hiroshi Ozawa ◽  
Takeshi Hoshikawa ◽  
Eiji Itoi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Fracture ◽  
Rare Case ◽  
Tethered Cord ◽  
Conus Medullaris ◽  
Tethered Cord Syndrome ◽  
Bone Union ◽  
Tethered Spinal Cord ◽  
Fracture Fragment ◽  
Loss Of Correction

The authors report a rare case of tethered cord syndrome with low-placed conus medullaris complicated by a vertebral fracture that was successfully treated by a spine-shortening vertebral osteotomy. The patient was a 57-year-old woman whose neurological condition worsened after a T-12 vertebral fracture because a fracture fragment and the associated local kyphotic deformity directly compressed the tethered spinal cord. An osteotomy of the T-12 vertebra was performed in order to correct the kyphosis, remove the fracture fragment, and reduce the tension on the spinal cord. Postoperative radiographs showed the spine to be shortened by 22 mm, and the kyphosis between T-11 and L-1 improved from 23° to 0°. Two years after the surgery, the patient's neurological symptoms were resolved. The bone union was complete with no loss of correction.

scholarly journals Total intravenous anaesthesia to facilitate bulbocavernous reflex in a 2-year-old child with tethered cord syndrome: A case report

2021 ◽  
Vol 8 (1) ◽  
pp. 122-124
Author(s):  
Deepak Rajappa ◽  
Kavya Mittimanj ◽  
Dheeraj Masapu ◽  
Shishir Chandrashekar ◽  
Satish Rudrappa
Keyword(s):  
Case Report ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Total Intravenous Anaesthesia ◽  
Intravenous Anaesthesia

Coexistence of Lumbar Intramedullary Lipoma and Epidermoid Tumor in a Child with Tethered Cord Syndrome: Case Report

2020 ◽  
Vol 2 (8) ◽  
pp. 1264-1267
Author(s):  
Adem Dogan ◽  
Gardashkan Karımzada ◽  
Mehmet Ozan Durmaz ◽  
Cahit Kural ◽  
Armagan Gunal ◽  
...  
Keyword(s):  
Case Report ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
Epidermoid Tumor

Posterior vertebral column subtraction osteotomy: a novel surgical approach for the treatment of multiple recurrences of tethered cord syndrome

2009 ◽  
Vol 10 (4) ◽  
pp. 278-286 ◽  
Author(s):  
Patrick C. Hsieh ◽  
Stephen L. Ondra ◽  
Andrew W. Grande ◽  
Brian A. O'Shaughnessy ◽  
Karin Bierbrauer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Column ◽  
Spinal Column ◽  
Tethered Cord ◽  
Tethered Cord Syndrome ◽  
The Novel ◽  
Tethered Spinal Cord ◽  
Vertebral Column Resection ◽  
Csf Leakage ◽  
Multiple Recurrences

Recurrent tethered cord syndrome (TCS) has been reported to develop in 5–50% of patients following initial spinal cord detethering operations. Surgery for multiple recurrences of TCS can be difficult and is associated with significant complications. Using a cadaveric tethered spinal cord model, Grande and colleagues demonstrated that shortening of the vertebral column by performing a 15–25-mm thoracolumbar osteotomy significantly reduced spinal cord, lumbosacral nerve root, and terminal filum tension. Based on this cadaveric study, spinal column shortening by a thoracolumbar subtraction osteotomy may be a viable alternative treatment to traditional surgical detethering for multiple recurrences of TCS. In this article, the authors describe the use of posterior vertebral column subtraction osteotomy (PVCSO) for the treatment of 2 patients with multiple recurrences of TCS. Vertebral column resection osteotomy has been widely used in the surgical correction of fixed spinal deformity. The PVCSO is a novel surgical treatment for multiple recurrences of TCS. In such cases, PVCSO may allow surgeons to avoid neural injury by obviating the need for dissection through previously operated sites and may reduce complications related to CSF leakage. The novel use of PVCSO for recurrent TCS is discussed in this report, including surgical considerations and techniques in performing PVCSO.

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