engleski

Surgical treatment of occult spinal dysraphism

Tethered cord syndrome (TCS) is closely related to spinal dysraphism. Forty three patients with TCS were operated on in the Department of Neurosurgery. Seventeen patients had primary TCS and 26 patients secondary TCS.Ten patients had local cutaneous signs that suggested occult spinal dysraphism. Motor function and sphincter control improved in patients with primary TCS, when in most patients with secondary TCS those symptomas were unchanged. In twenty one patient with secondary TCS MRI showed associated malformations (hydrocephalus, Chiary i, II). Current minimally invasive surgical techniques (laminoplasty, interarcuar flavectomy), and epiarachnoid preparation improve operative safety, so prophilactic surgery in oligosymptomatic and asimptomatic patients is suggested.

tethered cord syndrome; occult spinal dysraphism; myelomeningocelle

nije evidentirano