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和田 圭司
Department Other, Other Position |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Reduction of caudal traction force using dural sac opening rather than spinal cord detethering for tethered cord syndrome caused by lipomyelomeningocele: a case report. |
| Journal | Formal name：The spine journal : official journal of the North American Spine Society Abbreviation：Spine J ISSN code：18781632/15299430 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 14(10),pp.e1-3 |
| Author and coauthor | Murata Yasuaki, Kanaya Kohichi, Wada Hiroyoshi, Wada Keiji, Shiba Masahiro, Kato Yoshiharu |
| Publication date | 2014/10 |
| Summary | 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 |