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In adults, surgery to detether (free) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Although detethering is the common surgical approach to TCS, [ 25 ] another surgical option for adults is a spine-shortening vertebral osteotomy .
The first is the dorsal type, which means that the disruption of the spinal cord occurs on the dorsal, i.e. towards the back, portion of the spinal cord. [1] There may be nerves affected, but these types of spinal lipomas generally do not extend into the conus medullaris , which is the ends of spinal cord nerves.
In adults, surgery to free (detether) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Tethered Cord Syndrome is causally linked to Chiari Malformation and any affirmative diagnosis of TCS must be followed by screening for Chiari's several degrees.
The spinal cord lesion or the scarring due to surgery may result in a tethered spinal cord. In some individuals, this causes significant traction and stress on the spinal cord and can lead to a worsening of associated paralysis, scoliosis , back pain, and worsening bowel and/or bladder function.
These side effects are treated by lowering the level of weight applied. [41] Some patients may suffer from motor paresis after the application of the device. Typically it is present in patients with preexisting spinal cord abnormalities. [29]: 389 Generally, HGT does not cause neurological side effects due to the slow progression of traction ...
It is frequently co-morbid with atlanto-axial joint instability, Chiari malformation, [3] or tethered spinal cord syndrome. The condition can be brought on by physical trauma , including whiplash , laxity of the ligaments surrounding the joint, or other damage to the surrounding connective tissue.
His next surgery option is for seizure reduction and will involve an implant that doctors will put in his brain to stimulate his brain activity, as a result of having surgeries. But he won’t be ...
An L1 laminectomy is then performed: a section of the spine's bone, the spinous processes together with a portion of the lamina, are removed, like a drain-cap, to expose the spinal cord and spinal nerves underneath. Ultrasound and an X-ray locate the tip of the spinal cord, where there is a natural separation between sensory and motor nerves.
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