Surgical Outcome of Children and Adolescents with Tethered Cord Syndrome

Seki, Toshitaka; Hida, Kazutoshi; Yano, Shunsuke et al.

Asian spine journal, 2016, 10(5), 940-944

Permalink : https://hdl.handle.net/2115/66648

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アクセス権
open access
URI
https://hdl.handle.net/2115/66648
タイトル
Surgical Outcome of Children and Adolescents with Tethered Cord Syndrome
著者
Seki, Toshitaka ; Hida, Kazutoshi ; Yano, Shunsuke ; Sasamori, Toru ; Hamauch, Shuji ; Koyanagi, Izumi ; Houkin, Kiyohiro
著者名
Seki, Toshitaka
著者名
Hida, Kazutoshi
著者名
Yano, Shunsuke
e-Rad_Researcher
40746848
著者名
Sasamori, Toru
著者名
Hamauch, Shuji
著者名
Koyanagi, Izumi
e-Rad_Researcher
90229146
著者名
Houkin, Kiyohiro
言語
英語
キーワード
Children
Lumbosacral
Lipoma
Spina bifida
Outcome
発行日
2016-10
出版者
Korean Society of Spine Surgery
収録物名
Asian spine journal
巻(号)
10(5)
ページ
940-944
抄録
Study Design: Retrospective cohort study. Purpose: To compare long-term results of surgery with the outcomes of symptomatic and asymptomatic tethered cord syndrome (TCS) in children and adolescents and to assess the surgery duration for those with TCS. Overview of Literature: Pediatric patients with TCS continue to pose significant diagnostic and management challenges. Methods: We retrospectively analyzed the outcomes of 31 patients (16 males, 15 females) with TCS, including 21 with lumbosacral lipoma. All were surgically treated between 1989 and 2015. They were divided into symptomatic and asymptomatic TCS groups. The results of the treatment were summarized and analyzed using a non-parametric Mann-Whitney U test. Results: Nineteen patients had symptomatic TCS and 12 had asymptomatic TCS. Patients had a median age of 34 months (range, 0-201 months). The median follow-up period was 116 months (range, 7-223 months). Of the 19 symptomatic TCS patients, preoperative deficits improved after surgery in two (10.5%) and remained stable in 17 (89.5%) patients. One of the 12 asymptomatic TCS (8.3%) patients showed an exacerbated illness after surgery, and one in 11 patients remained stable (11.7%). There were significant differences in monthly age at surgery, preoperative bowel and bladder dysfunction, neurological function, presence/absence of clean intermittent catheterization introduction, and presence/absence of motor disorder at final follow-up (all p<0.05). In the univariate analysis, the presence/absence of preoperative bowel and bladder dysfunction, and symptoms were strongly associated with the risk of children and adolescents with TCS (p<0.05). Conclusions: Early accurate diagnosis and adequate surgical release might lead to successful outcomes in children and adolescents with TCS. Surgical untethering is a safe and effective method for treatment of children with TCS.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
権利情報
Creative Commons Attribution-NonCommercial 3.0 Unported
PISSN
1976-1902
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.4184/asj.2016.10.5.940