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Detethering Surgery

Articles and resources for Detethering Surgery in Neurosurgery.

Detethering surgery is a procedure often performed in neurosurgery to release the spinal cord from abnormal attachments that can cause tension or restriction. This condition, known as tethered spinal cord syndrome, may arise from various factors such as congenital malformations, trauma, or previous surgeries. Symptoms can include pain, weakness, or neurological deficits, prompting consideration of surgery to alleviate these issues and improve the patient’s quality of life.

The surgery typically involves making an incision in the lower back to access the spinal cord. Surgeons carefully identify the tethering structures and release them, allowing the spinal cord to move more freely within the spinal canal. The procedure may take several hours, and patients usually remain in the hospital for monitoring and recovery. Postoperative care often includes pain management and physical therapy to support healing and regain mobility.

While detethering surgery can lead to significant improvements in symptoms and overall function, it does carry potential risks. These may include infection, bleeding, or complications related to anesthesia. Additionally, there is a possibility that symptoms may not fully resolve or could recur over time. Understanding both the benefits and risks is essential for patients considering this surgical option.

Amniotic Membrane Graft for Myelomeningocele Detethering Surgery

This research investigates a new surgical technique to treat a birth defect known as myelomeningocele (MMC), which often results in motor problems, urinary dysfunction, and fluid buildup in the brain ...

Detethering Surgery for Children with Arthrogryposis Multiplex

This research paper focuses on a condition called Arthrogryposis multiplex congenita (AMC) which is a congenital disease that affects joints in at least two places. People with AMC can also have relat...

Detethering Surgery for Children with Scoliosis and Tethered Cord

This study looked at children born with early onset scoliosis (a condition causing the spine to curve) who also have tethered spinal cord syndrome (a nerve issue that often occurs alongside scoliosis)...

Detethering Surgery for Children: Long-Term Outcomes and Benefits

This research paper discusses a study conducted over 20 years at a single institution, focusing on surgeries performed on children under 19 years old to correct a condition called fibrofatty filum ter...

Detethering Surgery for Congenital Scoliosis: What You Need to Know

This research paper looks at the outcomes of treating patients with congenital scoliosis (a curvature of the spine present at birth) and tethered cord syndrome (a condition where the spinal cord is at...

Detethering Surgery for Infants: Understanding the Procedure and Risks

This research paper describes the case of a 7-month-old boy who had a rare type of cyst in his neck, called a neurenteric cyst. These cysts are formed before birth when two layers of cells in the embr...

Detethering Surgery for Myelocystocele: What Parents Should Know

This research paper is about a surgical procedure performed on six patients who had a condition called myelocystocele, which is a type of spina bifida. This condition causes a large lump to appear on ...

Detethering Surgery for Myelomeningocele: What Patients Should Know

This research paper discusses a case of a 62-year-old woman who was found to have a rare birth defect known as myelomeningocele (MMC), where the spinal cord does not properly close before birth. This ...

Detethering Surgery for Penoscrotal Transposition in Young Patients

The study discusses a condition called penoscrotal transposition (PST), where the penis is positioned improperly in relation to the scrotum. It's a rare abnormality that can occur alongside other issu...

Detethering Surgery for Scoliosis and Split Cord Malformation

This study looked at how to best treat people born with scoliosis (a curve in the spine) who also have a condition called split cord malformation (SCM), where the spinal cord is split into two parts. ...

Detethering Surgery for Scoliosis: What Parents Should Know

This research paper is about a rare medical case involving a 10-year-old boy. The boy had a condition called idiopathic scoliosis, which is an abnormal curvature of the spine. He also had a low-lying ...

Detethering Surgery for Tethered Cord Syndrome: What to Expect

This study aimed to understand the impact of a surgical procedure called detethering on the nervous system in patients suffering from tethered cord syndrome (TCS). TCS is a condition where the spinal ...

Detethering Surgery Vs. Spinal Column Shortening for Tethered Cord

Tethered Cord Syndrome (TCS) is a neurological condition caused by tension on the lower part of the spinal cord. The traditional treatment for this has been a surgery called detethering. However, in c...

Detethering Surgery: Improving Recovery for Chronic Spinal Cord Injury

This research paper is about a study conducted on patients with chronic spinal cord injuries. Typically, these patients are treated with rehabilitation and care for complications like urinary tract in...

Detethering Surgery: New Approaches for Spinal Deformity Treatment

This research paper looks at a different approach to treating patients with a specific type of spinal deformity and a tethered spinal cord. Traditionally, these patients undergo a risky procedure to u...

Early Spinal Cord Detethering May Slow Scoliosis Progression in Children

This study looked at children with early onset scoliosis (EOS) and tethered spinal cord (TSC), a condition where the spinal cord is attached at the base, causing it to stretch and potentially causing ...

Effective Detethering Surgery for Spina Bifida and Spinal Cysts

This research paper is about a medical procedure called sacral laminoplasty with titanium mesh, which is used to treat spinal conditions. These conditions are often found in patients with spina bifida...

Effective Pain Relief for Tethered Cord Syndrome: Detethering Surgery

This study involves a 55-year-old woman who had chronic back and leg pain due to a condition called tethered cord syndrome. This condition was a result of multiple surgeries to fix a type of spina bif...

Exoscope Use in Pediatric Detethering Surgery: a Study Overview

This research paper is about the use of a device called an exoscope in spinal surgeries for children. The exoscope is like a microscope that provides a better view of the surgical area and is more com...

Exploring Neuromonitoring Techniques in Tethered Cord Syndrome Surgery

This research paper presents a study on treating tethered cord syndrome (TCS), a condition where the spinal cord is abnormally attached within the spine. This condition can cause nerve damage, so duri...

Exploring the Use of Intraoperative Neuromonitoring in Tethered Cord

This research paper presents a study on treating tethered cord syndrome (TCS), a condition where the spinal cord is abnormally attached within the spine. This condition can cause nerve damage, so duri...

Fetoscopic Detethering Surgery for Unborn Babies with Ntds

This study involves a surgical technique to treat unborn babies with open neural tube defects (NTDs), such as myelomeningocele or myelocele. These are serious birth defects where the spine and spinal ...

Impact of Detethering Surgery on Bladder Function in Children

This study looks at the effect of a specific surgery called detethering surgery (DS) on bladder function and quality of life in children with a condition called Tethered cord syndrome (TCS). TCS is a ...

Improving Bladder Function After Detethering Surgery in Children

Tethered cord syndrome (TCS) is a condition that often leads to nerve and urinary problems. The main treatment for it is a type of surgery called 'detethering'. This research looked at how this surger...

Improving Bladder Function in Children: Insights on Detethering

This study aimed to investigate the effectiveness of a procedure called the Xiao procedure on children with bladder dysfunction due to spinal cord conditions. Children were divided into two groups for...

Improving Bowel Control After Detethering Surgery in Children

This research paper looks at a condition called tethered cord (TC) which is common in patients with anorectal malformations (ARMs), a kind of birth defect. TC can cause problems with bowel and bladder...

Improving Breathing During Detethering Surgery in Young Children

This research was conducted to see if two types of ventilator modes (pressure-controlled ventilation or PCV, and pressure-controlled ventilation-volume guaranteed or PCV-VG) are better than volume-con...

Improving Bypass Surgery Success with Detethering Techniques

This study investigated how to increase the length of a specific artery used in a type of brain surgery called extracranial-intracranial bypass. This surgery is used to treat a particular disease (moy...

Improving Detethering Surgery for Tethered Cord Syndrome in Children

This research was designed to test a new technique during surgery for spinal cord disorders, specifically tethered cord syndrome and spinal dysraphism. The new technique involves placing a strip of el...

Improving Safety in Detethering Surgery for Spina Bifida in Children

This study presents a new way of identifying and preserving important nerve roots during surgery for a specific type of spina bifida (a birth defect where the spinal cord doesn't develop properly). Th...

Improving Tethered Cord Syndrome Screening in Infants with Ea/Tef

This research paper is about how to improve the screening process for a condition called Tethered Cord Syndrome (TCS) in infants who have esophageal atresia and/or tracheoesophageal fistula (EA/TEF). ...

Long-Term Benefits of Detethering Surgery for Tethered Spinal Cord

This research paper looks at the long-term effects of surgery on patients with a condition called "tethered spinal cord". In this condition, the spinal cord is attached abnormally to the tissues aroun...

Long-Term Outcomes of Detethering Surgery for Myelomeningocele

The researchers compared the long-term outcomes of patients who had postnatal myelomeningocele closure surgery at the Children's Hospital of Pittsburgh, with the outcomes of patients who participated ...

Long-Term Outcomes of Detethering Surgery for Tethered Cord Syndrome

This research paper discusses a condition called Tethered Cord Syndrome (TCS), which can cause disability in patients with spine abnormalities or tumors. Traditionally, TCS is treated with a surgery t...

Long-Term Outcomes of Untethering Surgery in Children with Tethered Spinal

The research paper discusses a study conducted on children with a condition called anorectal malformation (ARM), which is often associated with another condition called tethered spinal cord (TSC). The...

Managing Early Onset Scoliosis Using Growing Rods: a Study on Children

This study looked at the use of growing rods (GR) in treating Early Onset Scoliosis (EOS) in patients who also had abnormalities within their spinal cord. The study included 46 patients, 13 of whom ha...

Minimally Invasive Detethering Surgery for Spinal Conditions

This research paper discusses the use of minimally invasive spine surgery for various spinal diseases, not just the traditional use of it for slipped discs. The study looked at patients who had been o...

New Hope for Spina Bifida: Detethering Surgery with Ev Treatment

This research paper is about a new potential treatment for spina bifida, a birth defect where the spine and spinal cord don't form properly. The researchers used tiny particles called extracellular ve...

New Surgical Technique for Tethered Cord Syndrome Relief

This research paper introduces a new surgical technique for treating tethered cord syndrome (TCS), a condition that can cause a progressive decline in neurological function. The standard treatment for...

Predicting Retethering After Detethering Surgery in Young Patients

This research paper is about predicting the risk of spinal cord re-attachment or "retethering" in patients who have previously had a surgery to correct a condition like lipomyelomeningocele, a type of...

Relief From Perineal Pain After Detethering Surgery for Tethered Cord

Tethered cord syndrome (TCS) is a condition where the spinal cord is under too much tension, causing various symptoms like back pain, bladder issues, constipation, and scoliosis. One less-known sympto...

Safe Detethering Surgery: Protecting Nerves During Spinal Procedures

This study looks at how to safely place screws in the spine without damaging important nerve structures. The researchers used cadavers to study the C2 nerve root, which is located near the area where ...

Simultaneous Surgery for Early Onset Scoliosis and Tethered Spinal Cord

This study looks at the best way to operate on children with early onset scoliosis (a curvature of the spine which starts at a young age) and a condition where the spinal cord is held too tightly (tet...

Understanding Anterolateral Thoracic Myelomeningocele in Children

This research paper discusses the case of a two-year-old boy who was born with a curved spine (congenital scoliosis) and a condition where the membranes that cover the brain and spinal cord protrude t...

Understanding Detethering Surgery for Chiari Malformation Type Ii

This study looked at 42 patients suffering from a condition called Chiari malformation type II, which is usually found in patients with a birth defect known as myelomeningocele. This condition often d...

Understanding Detethering Surgery for Children Who Toe Walk

This research paper is about investigating the use of MRI scans to diagnose children who walk on their toes, a condition often referred to as toe walking. This was done at a single hospital over five ...

Understanding Detethering Surgery for Congenital Intraspinal Lipomas

This research paper investigates the treatment of a condition known as congenital intraspinal lipomas in adults. These are fatty lumps that form inside the spinal cord at birth. The study specifically...

Understanding Detethering Surgery for Infants with Spinal Dysraphism

This research paper discusses a survey that was carried out among pediatric neurosurgeons to understand their practices related to a condition called occult spinal dysraphism (OSD). OSD is a common pe...

Understanding Detethering Surgery for Lipomyelomeningocele in Infants

This research paper talks about a rare medical case involving an 8-day-old baby girl. The baby had a condition called Lipomyelomeningoceles (LMMs), which are fatty lumps under the skin that can penetr...

Understanding Detethering Surgery for Lumbosacral Lipomas in Children

This research paper looks at a specific type of lipoma, or fat tissue growth, that occurs in the lower spine region in children. They can vary greatly in their shape, how they affect the patient, and ...

Understanding Detethering Surgery for Myelomeningocele Patients

This research paper is a look back at a database of patients aged 18 and under who had a specific type of spinal deformity called myelomeningocele (MMC). These patients had surgery to correct the defo...

Understanding Detethering Surgery for Oculo-Auriculo-Vertebral

This paper discusses a rare birth disorder called Oculo-auriculo-vertebral spectrum (OAVS) which affects the development of certain facial structures and can lead to issues with the heart, kidneys, an...

Understanding Detethering Surgery for Pediatric Tethered Cord Syndrome

Tethered cord syndrome (TCS) is a condition where the spinal cord is abnormally connected to the surrounding tissues. This can cause pain, movement issues, and problems with bladder control. It's quit...

Understanding Detethering Surgery for Rare Spinal Defects in Adults

This study discusses the case of a 72-year-old man who suddenly began to feel weak and experienced a strange sensation in his left leg. After undergoing some scans, the doctors discovered that he had ...

Understanding Detethering Surgery for Scoliosis in Neuromuscular

Scoliosis, a condition that causes a curve in the spine, is a common issue for people with neuromuscular disorders. Treating this condition can be difficult, and when surgery is used, there is a high ...

Understanding Detethering Surgery for Spina Bifida in Children

Spina bifida is a common birth defect that affects around 1-2 children per 1,000 live births globally. This condition can vary greatly in severity, with the level of functional ability believed to be ...

Understanding Detethering Surgery for Spinal Cord Tethering and Cysts

This research paper looks at a condition where the spinal cord becomes stuck (tethered) and develops a fluid-filled cyst (syringomyelia), often after trauma. This can lead to worsening nerve damage ov...

Understanding Detethering Surgery for Spinal Dysraphism in Children

Spinal dysraphism is a group of disorders caused by improper development of the spinal cord in the womb. This can lead to a strain on the spinal cord that can harm the nerves in the lower part of the ...

Understanding Detethering Surgery for Split Notochord Syndrome

This research paper is about a rare birth defect called Split Notochord Syndrome (SNS). This condition occurs when the notochord (a structure in the embryo that helps form the spine) doesn't fully int...

Understanding Detethering Surgery for Tethered Cord Syndrome Relief

This research paper discusses a new surgical method for treating tethered cord syndrome, a condition caused by an abnormality in the filum terminale (a bundle of nerves at the end of the spinal cord)....

Understanding Detethering Surgery for Urethral Duplication and Arm

This research paper is about a rare combination of three conditions: urethral duplication (UD), anorectal malformations (ARM), and occult spinal dysraphism (OSD). UD is a condition where the urethra, ...

Understanding Detethering Surgery: Risks and Rare Complications

This research paper revolves around a unique case of an 11-month-old boy who underwent a particular type of surgery for a spinal condition called lumbar lipomyelomeningocele, which is often associated...

Understanding Detethering Surgery: Ventral Vs. Dorsal Tethering

This study compared two types of spinal cord conditions: ventral tethering and dorsal tethering, where the spinal cord is abnormally attached in the lower spine, causing tension and potential damage. ...

Understanding Digestive Issues in Children with Tethered Cord Syndrome

This study aimed to understand the impact of tethered cord syndrome (TCS) on the digestive system in children, particularly focusing on the movement and function of the rectum and large intestine. Thi...

Understanding Neurosurgery's Role in Managing Rubinstein-Taybi Syndrome

Rubinstein-Taybi syndrome (RTS) is a rare genetic disorder characterized by certain physical traits. This study looked back at cases of RTS from a single hospital between 2010 and 2023 to understand h...

Understanding Pvcso Surgery for Recurrent Tethered Cord Syndrome Relief

This research paper examines the effects of a specific type of spinal surgery (known as posterior vertebral column subtraction osteotomy, or PVCSO) on adults suffering from tethered cord syndrome (TCS...

Understanding Pvcso Surgery for Recurring Tethered Cord Syndrome Relief

This research paper examines the effects of a specific type of spinal surgery (known as posterior vertebral column subtraction osteotomy, or PVCSO) on adults suffering from tethered cord syndrome (TCS...

Understanding Recurrent Penile Curvature in Adolescents Post Hypospadias

This research paper looks at a condition in adolescents where the penis curves due to a recurrence of an issue that was fixed in childhood. The study reviews the cases of 59 adolescent patients betwee...

Understanding Tethered Cord Syndrome: Symptoms, Changes, and Influences

Tethered Cord Syndrome (TCS) is a condition in children where the spinal cord is stretched as the child grows. This can cause reduced blood flow to the spinal cord and result in neurological problems,...

Understanding Tethered Optic Chiasm: a Rare Case of Vision Loss

This research paper explores a unique case of a 61-year-old woman who had an uncommon condition where her optic nerves and chiasm (the part of the brain where the optic nerves cross) were abnormally a...

Understanding Tethered Optic Chiasm: a Unique Case of Vision Loss

This research paper explores a unique case of a 61-year-old woman who had an uncommon condition where her optic nerves and chiasm (the part of the brain where the optic nerves cross) were abnormally a...

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