ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019
Surgical treatment of tethered cord syndrome-comparing the results of surgeries with and without electrophysiological monitoring.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Intraoperative electromyography (EMG): an updated position statement by the American Society of Neurophysiological Monitoring.Journal of clinical monitoring and computing · 2026Review
- Review
- Tethered cord syndrome in patients with myelomeningocele: Presentation of 3 cases, technical note on re-anchoring without dural opening.Surgical neurology international · 2025Article
- Application of neurophysiological monitoring during tethered cord release in children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Classification of and individual treatment strategies for complex tethered cord syndrome.Frontiers in surgery · 2024Article
- Feasibility and diagnostic accuracy of intra-operative monitoring of motor evoked potentials in children <2 years of age undergoing tethered cord surgery: results in 100 children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
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Authors and funding
3 authors.
Funding
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Abstract
purposeTo compare the short- and long-term outcomes after surgical treatment of tethered cord syndrome with and without electrophysiological monitoring.
methodWe collected the preoperative data of 102 tethered cord surgeries of 91 patients. We compared the outcomes regarding the presence of intraoperative electrophysiology, the types of surgeries and the preoperative neurological condition. We also analysed the long-term outcomes in the cases of 69 patients.
resultsWe found that intraoperative electrophysiology can reduce the perioperative surgical risk significantly (from 9.4 to 2.9%, p < 0.001), and electrophysiology is also beneficial in avoiding long-term progression in 88.7% (p = 0.03341).
conclusionTethered cord surgeries are safe and effective. With the use of intraoperative electrophysiology, the risk of postoperative worsening is as low as 2.9%, and long-term progression can be avoided in the majority of the patients.
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