Tethered cord syndrome (TCS)

Evidence-based neurology checklist on tethered cord syndrome (tcs): Pathology The lower end of the spinal cord is fixed to the spinal canal This causes excessive tension in the spinal cord This leads to a low-lying conus medullaris It is associated fatty infiltration of the filum terminale…

Pathology

  • The lower end of the spinal cord is fixed to the spinal canal
  • This causes excessive tension in the spinal cord
  • This leads to a low-lying conus medullaris
  • It is associated fatty infiltration of the filum terminale

Associations

Classification

Neurological features

Skeletal features

Systemic features

Differential diagnosis: pseudo-tethered cord

Indications for TCS screening

Surgical untethering treatment: indications

Acronym

References

  1. Hertzler DA 2nd, DePowell JJ, Stevenson CB, Mangano FT. Tethered cord syndrome: a review of the literature from embryology to adult presentation. Neurosurg Focus 2010; 29:E1.
  2. Lew SM, Kothbauer KF. Tethered cord syndrome: an updated review. Pediatr Neurosurg 2007; 43:236-248.
  3. Klekamp J. Tethered cord syndrome in adults. J Neurosurg Spine 2011; 15:258-270.
  4. Yamada S, Won DJ, Yamada SM, Hadden A, Siddiqi J. Adult tethered cord syndrome: relative to spinal cord length and filum thickness. Neurol Res 2004; 26:732-734.
  5. Gharedaghi M, Samini F, Mashhadinejad H, Khajavi M, Samini M. Orthopedic lesions in tethered cord syndrome: the importance of early diagnosis and treatment on patient outcome. Arch Bone Jt Surg 2014; 2:93-97.
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