ArticleBMC pediatrics2023
Endoscopic spinal cord untethering using a 1 cm skin incision technique in pediatrics: a technical case report.
Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Improved deep joint model with tuned improved LeNet for spinal cord segmentation and injury detection using CT images.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Endoscopic spine surgery across the pediatric pathological spectrum: A systematic review of indications, techniques, and outcomes.Surgical neurology international · 2026Review
- Tethered cord syndrome (TCS) and constipation in children: a multifaceted approach (literature review).Annals of medicine and surgery (2012) · 2025Review
- Filum terminale transection in pediatric SCIWORA with tight filum terminale: a case series and literature review.Frontiers in pediatrics · 2025Article
- Surgical management of tethered spinal cord syndrome through biportal endoscopic approach: a novel technical note.Neurosurgical focus: Video · 2024Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundSpinal cord untethering by sectioning the filum terminale is commonly performed in tethered cord syndrome patients with minor abnormalities such as filar lipoma, thickened filum terminale, and low conus medullaris. Our endoscopic surgical technique, using the interlaminar approach, allows for sectioning the filum terminale through a very small skin incision. To our knowledge, this procedure has not been previously reported. This is the first case report involving a 1 cm skin incision. CASE PRESENTATION: A 9-month-old male patient was referred to our neurosurgical department due to a coccygeal dimple. MRI revealed a thickened fatty filum. After considering the treatment options for this patient, the parents agreed to spinal cord untethering. A midline 1 cm skin incision was made at the L4/5 vertebral level. Untethering by sectioning the filum terminale was performed by full endoscopic surgery using the interlaminar approach. The procedure was uneventful and there were no postoperative complications.
conclusionsIn terms of visibility and minimizing invasiveness, our surgical technique of using the interlaminar approach with endoscopy allows for untethering by sectioning the filum terminale through a very small skin incision.
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