Giles L G
Spinal Research Laboratory, Griffith University, Brisbane, Queensland, Australia.
Surg Radiol Anat. 1991;13(4):339-43. doi: 10.1007/BF01627769.
The primary tethered cord syndrome has been documented mainly in children and adolescents but also in adults, and patients may present with backache, neuromuscular skeletal changes such as club-foot, scoliosis, muscular atrophy, disturbances of gait, or dysfunction of bladder and rectum, or a combination of these conditions. The cadaveric case presented describes plain film radiographic and anatomical findings of spina bifida occulta at the first and second sacral levels, and an enlarged spinous process of the fifth lumbar vertebra, in a 78 year old male cadaver with a tethered spinal cord terminating at the first sacral level. During life, this man had not undergone surgery for tethered spinal cord.
原发性脊髓栓系综合征主要见于儿童和青少年，但也有成人病例，患者可能出现背痛、神经肌肉骨骼改变，如马蹄内翻足、脊柱侧弯、肌肉萎缩、步态障碍、膀胱和直肠功能障碍，或这些情况的组合。本文描述的尸体病例为一名78岁男性尸体，其脊髓栓系于第一骶椎水平，平片X线显示第一、二骶椎水平隐性脊柱裂及第五腰椎棘突增大的影像学和解剖学表现。该男子生前未接受过脊髓栓系手术。
