Thoracolumbar surgery for degenerative spine diseases complicated with tethered cord syndrome:A case report

作     者：Yue-Tian Wang Guan-Zhang Mu Hao-Lin Sun 

作者机构：Department of OrthopedicsPeking University First HospitalBeijing 100034China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第28期

页      面：10375-10383页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Tethered cord syndrome Split cord malformations Ossification of ligamentum flavum Spondylolisthesis Thoracolumbar surgery Case report 

摘      要：BACKGROUND Tethered cord syndrome(TCS) secondary to split cord malformation(SCM) is rare in *** is as yet no consensus about the optimal treatment method for adult patients with SCMs and degenerative spine diseases such as lumbar stenosis,spondylolisthesis and ossification of the ligamentum flavum(OLF).The tethered cord poses a great challenge to the decompression and fusion procedures for the intraoperative stretching of the spinal cord,which might lead to deteriorated neural ***,we report on a case to add our treatment experience to the medical *** SUMMARY We treated a 67-year-old female patient with type II SCM suffering from lumbar disc herniation,degenerative lumbar spondylolisthesis and thoracic *** patient underwent thoracolumbar spinal fusion and decompression surgery for severe lower back pain,extensive left lower limb muscle weakness and intermittent *** the thoracolumbar surgery,without stretching the tethered cord,the patient achieved complete relief of pain and lower extremity weakness at final *** For adult patients with underlying TCS secondary to SCM coupled with thoracic OLF and lumbar spondylolisthesis,a thoracolumbar fusion surgery could be safe and effective with the tethered cord *** is critical to design individualized surgical protocols to reduce the stretch of the low-lying spinal cord.