Tethered cord syndrome in adults: Experience of 56 patients

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Selcuki M., METE M., BARUTÇUOĞLU M., DURANSOY Y. K., UMUR A. Ş., Selcuki D.

Turkish Neurosurgery, cilt.25, sa.6, ss.922-929, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 6
  • Basım Tarihi: 2015
  • Doi Numarası: 10.5137/1019-5149.jtn.11700-14.1
  • Dergi Adı: Turkish Neurosurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.922-929
  • Anahtar Kelimeler: Tethered cord syndrome, Adult, Filum terminale, Urodynamic study
  • Manisa Celal Bayar Üniversitesi Adresli: Evet

Özet

Aim: The aim of this study was to describe the results of surgery performed in a group of adult patients with tethered cord syndrome with their outcomes. Material and Methods: This retrospective study included 56 patients. There were 38 females and 18 males. All patients were older than 18 years. Results: The mean age at referral was 36 years and 1 month. The mean follow-up period was 10 months 27 days. 95% of all patients with back and leg pains improved and 5% remained the same. Three patients with motor deficits remained the same in the postoperative period. Of the 16 patients with urological complaints, 10 improved, 5 unchanged and 1 patient died in the postoperative first day due to pulmonary embolism. Conclusion: The syndrome of tethered cord may be a situation to be treated even in the elderly in case of normal level conus medullaris and filum terminale with a normal appearance as well as a low-lying conus and thick filum. To prevent overlooking the diagnosis of tethered cord and/or unnecessary spinal surgeries, the tethered cord syndrome should be remembered in the differential diagnosis list in the presence of back and leg pains, neurological deficits or urological complaints.