Tethered cord syndrome (TCS) is a neurological disorder characterized by an abnormal attachment of the spinal cord to surrounding tissues, leading to progressive stretching and traction of the spinal cord. This condition is commonly diagnosed in pediatric patients and may result in various neurological deficits and symptoms. At SHIFAA PAN African Hospitals, our pediatric neurosurgery department specializes in the diagnosis and surgical management of tethered cord syndrome, offering comprehensive care to pediatric patients with this condition.

Procedure:

Tethered cord excision is the surgical procedure performed to release the abnormal tethering of the spinal cord and restore its normal mobility within the spinal canal. During the surgery, the neurosurgeon carefully detaches the adherent tissues, removes any constricting bands or fibrous attachments, and frees the spinal cord to allow unrestricted movement. The goal of tethered cord excision is to prevent further neurological deterioration, alleviate symptoms, and preserve or improve neurological function in pediatric patients.

Indications:

Surgical intervention for tethered cord syndrome in pediatric patients is indicated when neurological deficits are present or when there is evidence of progressive neurological deterioration. Common indications for tethered cord excision include motor weakness, sensory disturbances, bowel and bladder dysfunction, spinal deformities, and pain syndromes.

Benefits:

• Neurological Improvement: Tethered cord excision aims to relieve the compression and stretching of the spinal cord, leading to neurological improvement or stabilization in pediatric patients.
• Symptom Relief: By releasing the tethered spinal cord, surgery can alleviate symptoms such as motor weakness, sensory deficits, urinary and bowel dysfunction, and pain.
• Prevention of Complications: Early surgical intervention for tethered cord syndrome can prevent the development of complications such as scoliosis, foot deformities, and progressive neurological deficits.

Recovery:

Pediatric patients undergoing tethered cord excision require close monitoring postoperatively to assess neurological function, monitor for complications, and provide supportive care. Rehabilitation may be necessary to optimize motor function and mobility. Long-term follow-up appointments are essential to monitor surgical outcomes, address any ongoing issues, and ensure optimal neurological development.

 

What is tethered cord syndrome?

Tethered cord syndrome is a neurological disorder characterized by an abnormal attachment of the spinal cord to surrounding tissues, leading to progressive stretching and traction of the spinal cord.

 

How is tethered cord syndrome treated in pediatric patients?

Treatment for tethered cord syndrome in pediatric patients often involves surgical intervention to release the abnormal tethering of the spinal cord and restore its normal mobility within the spinal canal.

 

What are the benefits of tethered cord excision?

Tethered cord excision aims to relieve compression and stretching of the spinal cord, leading to neurological improvement, symptom relief, and prevention of complications in pediatric patients.

 

What are the common indications for tethered cord excision?

Common indications for tethered cord excision include motor weakness, sensory disturbances, bowel and bladder dysfunction, spinal deformities, and pain syndromes.

 

What is the recovery process after tethered cord excision?

Pediatric patients require close monitoring postoperatively to assess neurological function, monitor for complications, and provide supportive care. Rehabilitation and long-term follow-up appointments are essential for optimal outcomes.

 

What are the potential complications of tethered cord excision?

Complications may include cerebrospinal fluid leakage, infection, neurological deterioration, and recurrence of tethering. Prompt recognition and management are essential for optimal outcomes. At SHIFAA PAN African Hospitals, our pediatric neurosurgery team is dedicated to providing compassionate care and innovative treatments for pediatric patients with tethered cord syndrome, ensuring the best possible outcomes and quality of life. At SHIFAA PAN African Hospitals, our pediatric neurosurgery team is dedicated to providing compassionate care and innovative treatments for pediatric patients with spinal dysraphism, ensuring the best possible outcomes and quality of life.