Tethered Spinal Cord Syndrome

Introduction: Tethered Cord Syndrome (TCS) is a pathological condition, characterized with the fixation of the conus medullaris from different pathological processes to the caudal sections of the dural sac and blocking the physiological movement of the spine cord to cranial direction with the grow of the body. Aim: The aim of this paper is to analyze our experience with the treatment of the TCS. Material and Methods: Object of our research are 26 children, aged from 3 months to 14 years, with different forms of spinal deformities who caused the fixation of the spinal cord: Lipoma - 7, Teratoma -2, Holesteatoma -1, Operated for myelocele -3, Filum terminale - 4,Diastomyelia - 5, Dermal sinus - 4. Female/male 1:1.Clinical symptoms - neurological deficit - 26, retention / incontinence - 8, leg weakness - 17, deformities of the foot - 12, visible manifestation of the spine - 21.All the patients were operated and with total release of the conus and the nerve roots. Results: With significant improvement - 12 children, with no significant improvement - 7, without improvement - 7. Discussion: The disrafic disorders mostly Spina bifida occulta are characterized with the development of different disorders of the distal section of the spine cord, the meninges and the structure of the spine. The combination of progressive dysfunction, paraparesis inferior, incontinence /retention, deformities, atrophy, spine pain syndrom and the typical MRI and CT scan result is very important for the proper diagnosis. The treatment is surgical and it’s individual for each patient.