Tethered cord

Tethered cord syndrome is a neurological disorder caused by tissue attachments that limit the movement of the spinal cord within the spinal column. These attachments cause an abnormal stretching of the spinal cord. The course of the disorder is progressive. In children, symptoms may include lesions, hairy patches, dimples, or fatty tumors on the lower back; foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. This type of syndrome is often associated with the spina bifida condition.

Symptoms

The symptoms of tethered cord syndrome can appear in both children and adults. In children, the most common symptoms include lesions, hairy patches, dimples, or fatty tumors on the lower back. Other symptoms can include foot and spinal deformities, weakness in the legs, low back pain, scoliosis, and incontinence. In adults, the symptoms can be similar but may also include pain and numbness in the lower back and legs, as well as bowel and bladder problems.

Diagnosis

The diagnosis of tethered cord syndrome is usually made through a combination of medical history, physical examination, and medical imaging techniques. MRI is the most common imaging technique used to diagnose this condition. It can provide detailed images of the spinal cord and surrounding structures, allowing doctors to see any abnormal attachments or other problems that may be causing the symptoms.

Treatment

The primary treatment for tethered cord syndrome is surgery. The goal of surgery is to release the tethered spinal cord and to relieve the symptoms caused by the abnormal stretching of the spinal cord. In some cases, additional treatments may be needed to manage other symptoms or complications of the condition.

Prognosis

The prognosis for individuals with tethered cord syndrome varies depending on the severity of the condition and the success of the surgery. With successful surgery, many individuals can lead normal lives. However, some may continue to experience symptoms or may develop new symptoms over time.

See also

• Spina Bifida
• Neurological Disorders
• Scoliosis

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