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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2005, Number 6

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Acta Ortop Mex 2005; 19 (6)

Tethered cord syndrome: Diagnosis and treatment

Vergara FHJ, Rivera VG, Cardoso MA, Rosales MME, Orellana RC

Language: Spanish
References: 12
Page: 264-267
PDF size: 52.17 Kb.


ABSTRACT

Introduction. Tethered cord syndrome is defined as having the tip of the conus medullaris below the body of L2, should be considered, if neuromuscular skeletal changes as club-foot, scoliosis, muscular atrophy of disturbances of gait, sensibility or function of bladder and rectum are recognized. Main objective. Value the clinical evolution before and after the surgical treatment. Material and methods. Thirty seven patients were revised with the diagnosis of Tethered cord syndrome, from 1990 to 2003, carry out an evaluation the level of the conus medullaris, family history, malformations of extremities and spine. Results. Thirty seven patients were revised: 7 (19%) male and 30 (81%) female. Relating with family history observes 5 (13%) patients had mothers with diabetes mellitus dependent insulin. The age average the moment of the childbirth of the mother of the patients was of 25 years, of the father 27 years. According to the pregnancy number one observes that 16 patients (43%) they were first-born. The first control of the studied patients went on the average to the 5 years and 9 months, following of 4 year and 8 months. The age of beginning of the symptomatology went on the average to the month of life. The studied patients they are carried out liberation of the tethered cord the age average to which one carries out the surgery went to the 7 years 4 months, one carries out a liberation grade I of Kirollos. Discussion and conclusions. A bigger probability of tethered cord syndrome in parents smaller than 25 years primigestas exists. A correlation of the deficit of the level motor is not observed and sensitive existing bigger motive affection.


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