| Pedicle subtraction osteotomy for adult tethered cord syndrome with lumbar canal stenosis: report of two cases. | |
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MedLine Citation:
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PMID: 20942589 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Tethered cord syndrome with spinal lipoma is the most common form of occult spinal dysraphism. For the symptomatic patients, surgical treatment is recommended; however, there are many patients who have not been encouraged to seek medical attention until adulthood, since their symptoms are not severe enough to interfere with their daily activities. We performed pedicle subtraction osteotomy (PSO) to achieve indirect untethering and neural decompression in two senior patients with tethered cord syndrome, who showed deteriorating neurological condition due to coexisting lumbar canal stenosis. Here we report two patients (aged 56 and 60 years) who underwent PSO of L3 or L4. The pain disappeared and the bladder dysfunction recovered significantly after surgery. Complete bone union and untethering were achieved in both patients. PSO is an alternative surgical technique for senior patients with tethered cord syndrome caused by lumbosacral spinal lipoma, when the syndrome occurs along with lumbar canal stenosis. |
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Authors:
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Ichiro Kawamura; Yasuhiro Ishido; Michihisa Zenmyo; Takuya Yamamoto; Yoichi Kagawa; Setsuro Komiya; Kosei Ijiri |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The International journal of neuroscience Volume: 120 ISSN: 1563-5279 ISO Abbreviation: Int. J. Neurosci. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0270707 Medline TA: Int J Neurosci Country: England |
Other Details:
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Languages: eng Pagination: 735-7 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Kagoshima University, Kagoshima, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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