- Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, United States.
- College of Medicine, Florida State University, Tallahassee, Florida, United States.
- Department of Neurosurgery, John R. Oishei Children’s Hospital, Buffalo, New York, United States.
Renée M. Reynolds, Department of Neurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, United States.
DOI:10.25259/SNI_942_2021Copyright: © 2021 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Steven B. Housley1, Devan Patel2, Elizabeth Nyabuto1, Renée M. Reynolds1,3. Spinal cord detethering without laminectomy or laminotomy. 14-Dec-2021;12:610
How to cite this URL: Steven B. Housley1, Devan Patel2, Elizabeth Nyabuto1, Renée M. Reynolds1,3. Spinal cord detethering without laminectomy or laminotomy. 14-Dec-2021;12:610. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=11290
Background: Tethered cord syndrome occurs when there is abnormal tension on the distal spinal cord, which limits its elevation as patients grow. This results in stretching of the neural elements and microvasculature, resulting in both direct and ischemic injury.[
Case Description: We present a case of a 6-month-old male with a low-lying conus medullaris, lumbar syrinx, mildly abnormal urodynamic studies, and asymmetric utilization of his lower extremities observed during the evaluation of a Y-shaped gluteal cleft. He underwent elective spinal cord detethering via the safe and effective, minimally invasive technique described in the video.
Conclusion: Given the variety of surgical techniques used for cord detethering, this video may assist other surgeons in developing techniques that require little to no compromise of the developing bony spinal column while achieving sufficient release of the spinal cord.[
Keywords: Detethering, Filum terminale, Pediatric, Tethered cord
0:20 – Presentation magnetic resonance image 1:54 – Opening of ligamentum flavum 2:24 – Opening of dura 2:34 – Isolation of the filum terminale 2:53 – Cutting of the filum terminale
0:20 – Presentation magnetic resonance image
1:54 – Opening of ligamentum flavum
2:24 – Opening of dura
2:34 – Isolation of the filum terminale
2:53 – Cutting of the filum terminale
The authors certify that they have obtained all appropriate patient consent.
There are no conflicts of interest.
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