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Homogeneous Spinal-Shortening Axial Decompression for Tethered Cord Syndrome: Modified Spinal Column Shortening
- Source :
- World Neurosurgery. 127:e517-e522
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Tethered cord syndrome is a rare and intractable disease. The aim of this study was to investigate surgical outcome of homogeneous spinal-shortening axial decompression (HSAD) for tethered cord syndrome through a minimum 3-year follow-up.Patients who underwent HSAD for tethered cord syndrome in our institution between May 2011 and July 2015 were included in this study. After a minimum 3-year follow-up, radiologic and clinical data were collected. Surgical outcome was evaluated with Japanese Orthopaedic Association, visual analog scale, International Consultation on Incontinence Questionnaire-Short Form, and Rintala scores and urodynamics.The study included 64 patients (28 men and 36 women) with a mean age of 35.7 ± 18.1 years. Significant improvement of visual analog scale and Japanese Orthopaedic Association scores was noted postoperatively and at a minimum 3-year follow-up. At the final follow-up, Japanese Orthopaedic Association and visual analog scale scores in all patients were improved compared with preoperatively. The International Consultation on Incontinence Questionnaire-Short Form score was decreased from 14.94 ± 4.15 preoperatively to 7.63 ± 4.40 at final follow-up (P0.01). Rintala score was improved from 5.26 ± 3.45 preoperatively to 12.32 ± 3.43 at final follow-up (P0.01). All urodynamic parameters improved compared with preoperatively.HSAD was effective and safe. The results were satisfactory with a minimum 3-year follow-up. HSAD could be an alternative surgical treatment of TCS.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Decompression
Visual analogue scale
Neurosurgical Procedures
Young Adult
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Neural Tube Defects
Child
Tethered Cord
Surgical treatment
Aged
business.industry
Laminectomy
Mean age
Middle Aged
Decompression, Surgical
Spinal column
Spine
Osteotomy
Surgery
Treatment Outcome
Homogeneous
030220 oncology & carcinogenesis
Female
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....566901fba72387fe041ba3b587995446