Diagnosis and management of the tethered cord syndrome
Boop, F.A.; Russell, A.; Chadduck, W.M.
Journal of the Arkansas Medical Society 89(7): 328-331
1992
ISSN/ISBN: 0004-1858 PMID: 1286983 Document Number: 404509
Tethering of the spinal cord can occur from a thickened filum terminale, scarring due to myelomeningocele repair, lipomas or diastematomyelia. The typical presentation is a lumbar cutaneous defect, enuresis, unexplained back or leg pain, foot deformities, leg length discrepancies or scoliosis. Spinal ultrasound in neonates and MRI in older children offers ready diagnosis. With laser and microneurosurgical techniques, repair of these defects is safe and effective. The authors recommend that any infant having a mid-line lumbar cutaneous abnormality, such as a hemangioma, lipoma, hair patch or dimple, be evaluated to rule out tethering of the spinal cord.