ArticleSurgical neurology international2025
Tethered cord syndrome in patients with myelomeningocele: Presentation of 3 cases, technical note on re-anchoring without dural opening.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Surgical Treatment of Tethered Cord Syndrome by Release of Filum Terminalis: A Review.Children (Basel, Switzerland) · 2026Review
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Authors and funding
4 authors.
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Abstract
Background: Following myelomeningocele (MMC) repair, 10-30% of patients develop tethered cord syndrome (TCS). Surgical intervention is critical to reverse the stretching of the spinal cord. Here, we describe a technique for spinal cord untethering without dural opening in these patients. Methods: Three patients underwent spinal cord untethering without dural opening. The surgical technique involved reopening the previous incision and dissecting the scar tissue attached to the dura. A Spongostan sponge was inserted, and lateral sutures were placed between the dural sac and the adjacent muscles. Clinical outcomes, imaging findings, and urodynamic results were evaluated postoperatively. Results: The technique demonstrated positive outcomes in all three cases. Patients showed symptom improvement, better positioning of the spinal cord on imaging studies, and enhanced bladder function on urodynamic evaluations. Conclusion: Spinal cord re-untethering without dural opening may be a viable surgical option for selected patients with MMC, offering favorable outcomes with reduced risk.
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