ArticleCureus2019
The Use of Prone Magnetic Resonance Imaging to Rule Out Tethered Cord in Patients With Structural Spine Anomalies: A Diagnostic Technical Note for Surgical Decision-making.
Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Absence of lumbosacral plexus abnormalities in preschool children with tethered cord syndrome: A multiparametric MRI study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Secondary untethering and re-untethering are both beneficial in adult tethered cord syndrome: a single-center cohort study.Brain & spine · 2026Article
- Prone Position for Preoperative Planning in Lumbar Endoscopic and Minimally Invasive Fusion Procedures: Insights From a Magnetic Resonance Imaging Study.International journal of spine surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tethered cord syndrome (TCS) is a clinical diagnosis that can be difficult to establish, as symptoms do not always match classic radiological findings, such as a low-lying conus. Surgery for spinal detethering is not without risk and does not always result in clinical improvement. Prone magnetic resonance imaging (MRI) has been described as a tool to assess the mobility of the spine. This is a technical imaging report where prone imaging was a factor that influenced the decision to defer surgery in favor of conservative management. T1 and T2 sagittal and T1 axial MRI imaging were obtained with the patient supine, and then repeated in the prone position. An anteroposterior conus movement of >10% of the canal width was considered normal. There was significant anterior movement of the conus when switching to the prone position. Surgery was deferred, and the patient improved after a regimen of intensive physical therapy. Prone MRI can be a useful tool to have in our neurosurgical armamentarium when assessing spinal cord tethering. Surgery is not recommended when normal anteroposterior movement of the conus is present.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.