ワダ　ケイジ   和田　圭司    所属   その他 その他    職種   嘱託医師
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Reduction of caudal traction force using dural sac opening rather than spinal cord detethering for tethered cord syndrome caused by lipomyelomeningocele: a case report.
掲載誌名	正式名：The spine journal : official journal of the North American Spine Society 略　 称：Spine J ISSNコード：18781632/15299430
掲載区分	国外
巻・号・頁	14(10),pp.e1-3
著者・共著者	Murata Yasuaki, Kanaya Kohichi, Wada Hiroyoshi, Wada Keiji, Shiba Masahiro, Kato Yoshiharu
発行年月	2014/10
概要	BACKGROUND CONTEXT:A few reports have addressed tethered cord syndrome. Detethering surgery has been performed in these cases because abnormal tension on the spinal cord causes neurologic and urologic symptoms.PURPOSE:To discuss the surgical treatment of tethered cord syndrome with the belief that the tension on the cord can be decreased by shifting tethered cord to the dorsal side.STUDY DESIGN:A patient with tethered cord syndrome was surgically treated by shifting the tethered cord to the dorsal side by harnessing the lumbar lordosis instead of detethering.METHODS:We performed surgery to shift the tethered cord to the dorsal side by harnessing the lumbar lordosis to decrease the tension on the spinal cord.RESULTS:The tethered cord that was pressed to the ventral side because of a lipoma was shifted dorsally by laminectomy and opening of the dural sac. Pain and numbness were alleviated immediately after surgery.CONCLUSIONS:The method used in the present case, that is, shifting the tethered cord and lipoma to the dorsal side by harnessing the lumbar lordosis instead of detethering, is a viable treatment option for tethered cord syndrome.
DOI	10.1016/j.spinee.2014.02.031
PMID	24613376