Lapras C, Patet J D, Huppert J, Bret P
Rev Neurol (Paris). 1985;141(3):207-15.
Fifty-eight cases presenting a tethered conus with spina bifida occulta are analysed. Twenty-three patients had a lipoma, the others had various malformations of the cord. Twenty patients had no symptom or sign, 38 had neurological symptoms and signs. Only 2 had no skin malformation. The aim of surgery is to reduce the volume of the lipoma, untether the cord, and reconstruct the posterior protection of the cord. Twenty-six patients were cured or improved, 12 patients were stabilized, 19 remained asymptomatic, 1 was worsened.
分析了58例隐性脊柱裂合并脊髓栓系的病例。23例患者有脂肪瘤，其他患者有各种脊髓畸形。20例患者无症状或体征，38例有神经症状和体征。仅2例无皮肤畸形。手术目的是减少脂肪瘤体积、松解脊髓栓系并重建脊髓的后保护结构。26例患者治愈或改善，12例病情稳定，19例仍无症状，1例病情恶化。
