Tethered cord syndrome: 5 year clinical experiences and surgical results
Yıl: 2018 Cilt: 25 Sayı: 1 Sayfa Aralığı: 80 - 85 Metin Dili: İngilizce DOI: 10.5455/jtomc.2017.10.129 İndeks Tarihi: 02-10-2018
Tethered cord syndrome: 5 year clinical experiences and surgical results
Öz: Aim: Occult spinal dysraphism, which manifests with motor and sensory disturbances in children and causes orthopedic deformities in the lower extremities and urological findings, is the result of developmental defects in the caudal part of the neural tube. One of the most common spinal dysraphism is tethered cord syndrome (TCS). In this study, patients who had been diagnosed with TCS in the past 5 years were retrospectively reviewed and clinical, radiological and surgical characteristics of these patients were tried to be revealed.Material and Methods: We retrospectively reviewed the data about 26 patients with the diagnosis of TCS in our clinic between 2011- 2015. The results of these surgeries were evaluated by age, gender, additional malformations, clinic symptoms, radiological and electrophysiological evaluation. The patient with urological symptoms was additionally performed in urodynamic tests.Results: These 26 cases, 23% were children and 77% were adults. 81% of the patients were male and 19% female. Only 3.8% of the patients were primary TCS, 96.2% of the patients had other malformations. Urine incontinence was found in 19.2% of the patients and orthopedic deformities were found in 7.7% of the patients. Surgical treatment was done to 65% of the patients, and 35% of the patients were followed because they didn’t want to be operated.Conclusion: Tethered cord syndrome is usually not seem alone, it is associated with other developmental defects of the spine and spinal cord. If surgery done earlier, the greater the likelihood of regression of the neurological deficit or stablization the deficits.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Özdemir Ö, Çalışaneller T, Gülşen S, Gerilmez A, Karadeli E, Caner H. Sakral Ageneziye bağlı gergin omurilik sendromu ve dekstrokardi birlikteliği: Olgu sunumu. Türk Nöroşir Derg 2009;19(2):61-5.
- Jeelani O, Jaspan T, Pun J. Tethered cord syndrome after myelomeningocele repair. BMJ 1999;318(7182):516-7.
- Boyaci A, Tutoğlu A, Boyaci N, Karakaş E. Epidermoid tumor with tethered cord. Türk Fiz Tıp Rehab Derg 2014;60:182-3.
- Kural C, Solmaz I, Tehli O, Temiz C, Kutlay M, Daneyemez MK, et al. Evaluation and management of lumbosacral myelomeningoceles in children. Eurasian J Med. 2015;47(3):174-8
- Pusat S, Kural C, Solmaz I, Temiz C, Kacar Y, Tehli O, et al. Comparison of electrophysiological outcomes of tethered cord syndrome and spinal intradural tumors: a retrospective clinical study. Turk Neurosurg 2017;27(5):797-803.
- Tehli O, Hodaj I, Kural C, Solmaz I, Onguru O, Izci Y. A comparative study of histopathological analysis of filum terminale in patients with tethered cord syndrome and in normal human fetuses. Pediatr Neurosurg 2011;47(6):412-6.
- Kural C, Solmaz İ, Pusat S, Kırık A, Kaya S, Temiz C, et al. Surgical Technique for Split Cord malformations: Pitfalls and Solution Pathways. Gulhane Med J 2013;55(2):77-83
- Şenel S, Erkek N, Gürlek Gökçebay D, Karacan C, Yöney A. “Lumbosakral Hipertrikoz” İpucuyla Tanı Alan Gergin Omurilik Sendromu Olgusu. Turkiye Klinikleri J Pediatr 2009;18(4):321-3
- Izci Y, Gonul M, Gonul E. The diagnostic value of skin lesions in split cord malformations. J Clin Neurosci 2007;14(9):860-3.
- Tatli M, Güzel A, Karadağ Ö. Gergin Omurilik Sendromu. C. Ü. Tıp Fakültesi 2004;26(3):149-52.
- Solmaz I, Izci Y, Albayrak B, Cetinalp E, Kural C, Sengul G, et al. Tethered cord syndrome in childhood: special emphasis on the surgical technique and review of the literature with our experience. Turk Neurosurg 2011;21(4):516-21.
- Mishra SS, Panigrahi S, Dhir MK, Parida DK. Tethered cord syndrome in adolescents: Report of two cases and review of literature. J Pediatr Neurosci 2013;8(1):55-8.
- Erdinçler P, Kaynar MY, Tüzgen S, Kafadar A, Gazioglu N, Ciplak N, et al. Gergin omurilik sendromuna yol açan patolojiler ve cerrahi onarımı. Türk Nöroşir Derg 1999;9(3)27-34.
- Akay KM, Izci Y, Baysefer A, Timurkaynak E. Split cord malformation in adults. Neurosurg Rev 2004;27(2):99-105
- Yamada S, Won DJ, Pezeshkpour G, Yamada BS, Yamada SM, Siddiqi J, at al. Pathophysiology of tethered cord syndrome and similar complex disorders. Neurosurg Focus 2007;23(2):E6
- Kına H, Baydın S, Canaz H, Baydın SŞ, Demirci H, Alataş İ. Tethered cord sendromu ve cerrahi yaklaşım. Sinir Sistemi Cerrahisi Derg 2014;4(2):78-81
- Erman T, Göçer Aİ, Tuna M, İldan F, Çetinalp E. Gergin Omurilik sendromu. Türk Nöroşir Derg 2000;10(3):211-7.
- Düz B, Gocmen S, Secer HI, Basal S, Gönül E. Tethered Cord Syndrome in Adulthood J Spinal Cord Med 2008;31(3):272-8.
APA | KACAR Y, MEHTİYEV R, RAMİKHANOV Z, KURAL C, İZCİ Y (2018). Tethered cord syndrome: 5 year clinical experiences and surgical results. , 80 - 85. 10.5455/jtomc.2017.10.129 |
Chicago | KACAR Yunus,MEHTİYEV Royal,RAMİKHANOV Zaur,KURAL Cahit,İZCİ Yusuf Tethered cord syndrome: 5 year clinical experiences and surgical results. (2018): 80 - 85. 10.5455/jtomc.2017.10.129 |
MLA | KACAR Yunus,MEHTİYEV Royal,RAMİKHANOV Zaur,KURAL Cahit,İZCİ Yusuf Tethered cord syndrome: 5 year clinical experiences and surgical results. , 2018, ss.80 - 85. 10.5455/jtomc.2017.10.129 |
AMA | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y Tethered cord syndrome: 5 year clinical experiences and surgical results. . 2018; 80 - 85. 10.5455/jtomc.2017.10.129 |
Vancouver | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y Tethered cord syndrome: 5 year clinical experiences and surgical results. . 2018; 80 - 85. 10.5455/jtomc.2017.10.129 |
IEEE | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y "Tethered cord syndrome: 5 year clinical experiences and surgical results." , ss.80 - 85, 2018. 10.5455/jtomc.2017.10.129 |
ISNAD | KACAR, Yunus vd. "Tethered cord syndrome: 5 year clinical experiences and surgical results". (2018), 80-85. https://doi.org/10.5455/jtomc.2017.10.129 |
APA | KACAR Y, MEHTİYEV R, RAMİKHANOV Z, KURAL C, İZCİ Y (2018). Tethered cord syndrome: 5 year clinical experiences and surgical results. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 25(1), 80 - 85. 10.5455/jtomc.2017.10.129 |
Chicago | KACAR Yunus,MEHTİYEV Royal,RAMİKHANOV Zaur,KURAL Cahit,İZCİ Yusuf Tethered cord syndrome: 5 year clinical experiences and surgical results. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 25, no.1 (2018): 80 - 85. 10.5455/jtomc.2017.10.129 |
MLA | KACAR Yunus,MEHTİYEV Royal,RAMİKHANOV Zaur,KURAL Cahit,İZCİ Yusuf Tethered cord syndrome: 5 year clinical experiences and surgical results. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.25, no.1, 2018, ss.80 - 85. 10.5455/jtomc.2017.10.129 |
AMA | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y Tethered cord syndrome: 5 year clinical experiences and surgical results. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2018; 25(1): 80 - 85. 10.5455/jtomc.2017.10.129 |
Vancouver | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y Tethered cord syndrome: 5 year clinical experiences and surgical results. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2018; 25(1): 80 - 85. 10.5455/jtomc.2017.10.129 |
IEEE | KACAR Y,MEHTİYEV R,RAMİKHANOV Z,KURAL C,İZCİ Y "Tethered cord syndrome: 5 year clinical experiences and surgical results." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 25, ss.80 - 85, 2018. 10.5455/jtomc.2017.10.129 |
ISNAD | KACAR, Yunus vd. "Tethered cord syndrome: 5 year clinical experiences and surgical results". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 25/1 (2018), 80-85. https://doi.org/10.5455/jtomc.2017.10.129 |