Document Detail

A simple method to deter retethering in patients with spinal dysraphism.
MedLine Citation:
PMID:  16528578     Owner:  NLM     Status:  MEDLINE    
OPERATIVE TECHNIQUE: The authors describe a technique that may be of benefit to patients with spinal dysraphism and a tethered spinal cord. Twenty pediatric patients (ten initial operations and ten reoperations) after the detethering of their spinal cord had intradural retention sutures placed with subsequent duraplasty using autologous thoracolumbar fascia.
RESULTS: To date, no patient has had signs or symptoms or recurrence of signs or symptoms of a tethered spinal cord. No complications have resulted from this maneuver. The mean follow-up time for this cohort was 8 years. The advantages of this intervention include maintaining a relatively normal position of the spinal cord within the thecal sac, thus decreasing the potential adherence of the dorsally scarred aspect of the dysmorphic cord to an overlying graft whether synthetic or native.
R Shane Tubbs; W Jerry Oakes
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Publication Detail:
Type:  Comparative Study; Journal Article; Technical Report     Date:  2006-03-10
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  22     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-23     Completed Date:  2007-01-03     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  715-6     Citation Subset:  IM    
Department of Cell Biology, University of Alabama, Birmingham, AL, USA.
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MeSH Terms
Follow-Up Studies
Postoperative Complications / diagnosis*,  prevention & control,  surgery
Reoperation / methods*
Spina Bifida Occulta / diagnosis*,  prevention & control,  surgery
Spinal Dysraphism / surgery

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