Geyik Murat, Alptekin Mehmet, Erkutlu Ibrahim, Geyik Sırma, Erbas Cem, Pusat Serhat, Kural Cahit
Department of Neurosurgery, Gaziantep University, Gaziantep, Turkey,
Childs Nerv Syst. 2015 Sep;31(9):1559-63. doi: 10.1007/s00381-015-2748-9. Epub 2015 May 22.
Tethered cord syndrome (TCS) is not an uncommon clinical problem in children. The aim of this retrospective study is to document our experience on the surgical treatment of TCS in childhood.
The data of 162 children who underwent surgical treatment for TCS in a 15-year period were reviewed retrospectively. Their demographic, clinical, radiological, and surgical features were documented. They were divided into two groups as primary and secondary TCS, and the surgical technique for each group was demonstrated. Untethering the spinal cord and correction of the associated malformation were the standard surgical technique for each patient. The results of the treatment were summarized.
Among the 162 children, 101 (62.3%) of them were female and 61 were male with a mean age of 62 months. Primary TCS was detected in 43 patients while secondary TCS was found in 119 (73.4%) patients. Hypertrichosis was the most common physical finding while back pain was the common complaint. Lipoma, split cord malformation, dermal sinus tract, and myelomeningocele were the associated malformations for secondary TCS.
Children should be individualized for the treatment of TCS. Each patient must be evaluated neurologically and radiologically for the accurate diagnosis. Surgical untethering is the safe and effective method of treatment for children with TCS.
脊髓栓系综合征（TCS）在儿童中是一个并不罕见的临床问题。这项回顾性研究的目的是记录我们在儿童TCS手术治疗方面的经验。
回顾性分析15年间162例接受TCS手术治疗的儿童的数据。记录他们的人口统计学、临床、放射学和手术特征。将他们分为原发性和继发性TCS两组，并展示每组的手术技术。松解脊髓和矫正相关畸形是每位患者的标准手术技术。总结治疗结果。
162例儿童中，101例（62.3%）为女性，61例为男性，平均年龄62个月。43例患者检测出原发性TCS，119例（73.4%）患者为继发性TCS。多毛症是最常见的体征，背痛是常见主诉。脂肪瘤、脊髓纵裂畸形、皮样窦道和脊髓脊膜膨出是继发性TCS的相关畸形。
儿童TCS的治疗应个体化。每位患者必须进行神经学和放射学评估以准确诊断。手术松解是治疗儿童TCS的安全有效方法。
