ArticleCureus2025
Cerebrospinal Fluid Leaks and Healthcare Costs Associated With Tethered Cord Release and Filum Terminale Sectioning.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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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
1 citing paper in PubMed.
- Same-day discharge after pediatric neurosurgical procedures: a single-institution experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTethered cord syndrome is a condition caused by anatomical restrictions that limit the normal movement of the spinal cord, resulting in metabolic and vascular abnormalities that lead to hypoxia and jeopardize function. This study aims to comprehensively analyze the incidence of cerebrospinal fluid (CSF) leaks and the economic burden in pediatric patients who have undergone tethered cord release (TCR) and sectioning of filum terminale, stratified by the duration of postoperative recumbency.
methodsAfter approval from the Institutional Review Board, a retrospective chart review of a tertiary medical center was performed. Patients were stratified into two cohorts based on the time spent in the recumbent position (cohort 1: zero days vs. cohort 2: greater than or equal to one day).
resultsCohort 1 (n = 35) had a mean age of 9.14 ± 2.51 years, and cohort 2 (n = 25) had a mean age of 3.94 ± 0.87 years. The mean procedure duration was shorter in cohort 1 at 2.318 hours (1.22-4.63 hours) compared to 2.74 hours (2.20-3.97 hours) in cohort 2. CSF leaks were observed in one patient in cohort 1 (2.8%) and one patient in cohort 2 (4%), which was determined to be statistically insignificant through Fisher's exact test (p > 0.99). Cohort 1 had a higher overall frequency of total postsurgical complications with six patients (17.1%) compared to three patients in cohort 2 (12%) (p = 0.72). The most common complication was postsurgical infections, which occurred in four patients in cohort 1 (11%) and one in cohort 2 (4%). Mean postoperative hospital stays were 1.969 days for cohort 1 and 1.68 days for cohort 2. The inpatient hospital costs accrued and calculated in 2024 U.S. dollars were $13,742 and $14,650 for cohorts 1 and 2, respectively (p = 0.79).
conclusionThe increased burden and inpatient days needed to place patients in the supine position post-TCR are likely not justified in the setting of comparable CSF leak rates.
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