Blount Jeffrey P, Tubbs R Shane, Wellons John C, Acakpo-Satchivi Leslie, Bauer David, Oakes W Jerry
Section of Pediatric Neurosurgery, University of Alabama at Birmingham and Children's Hospital, Birmingham, Alabama 35233, USA.
Neurosurg Focus. 2007;23(2):E12. doi: 10.3171/FOC-07/08/E12.
In certain highly selected circumstances, division of a distally nonfunctional or dysfunctional cord can be a means of definitive untethering that spares and protects more rostral neurological function and results in definitive untethering. The authors reviewed their institutional experience with such cases and evaluated the limited literature. Based on their experience, treatment can be effective in carefully selected patients who undergo spinal cord transection, and the rate of repetitive tethered spinal cord can be decreased.
在某些经过严格挑选的情况下，对远端无功能或功能障碍的脊髓进行分割可以作为一种确定性的松解方法，以保留和保护更高节段的神经功能，并实现确定性的松解。作者回顾了他们机构在这类病例中的经验，并评估了有限的文献。根据他们的经验，对于经过仔细挑选的接受脊髓横断术的患者，治疗可能有效，并且可以降低重复性脊髓栓系的发生率。
