Perioperative care of pediatric patients with tethered cord syndrome / 中国实用护理杂志

Objective To discuss perioperative nursing of pediatric patients with tethered spinal cord syndrome (TCS). Methods 35 pediatric patients with TCS underwent surgical treatment. Pre-operative nursing included psychological care for the parents to eliminate their fear and worries, prona-tion position practice and clean of skin for the children patients, post- operative care included monitor-ing of vital signs, maintaining of proper positions,close observation of the wound, skin care and rehabili-tation training. Results After intensive care, all cases went through the perioperstive period without bed sores. During follow- up disappearance of clinical symptoms occurred in 24 cases, 3 cases got allevia-tion,7 cases with no improvement, and 1 case with deteriorated clinical symptom. Conclusions Preopera-tive care for patients with tethered cord syndrome can provide doctors with the diagnosis and treatment reference, and it plays an important role in treatment and rehabilitation of children patients.

Evaluation of "free sacro-capsule"for the tethered spinal cord syndrome by urodynamic examination / 中国矫形外科杂志

[Objective]To use urodynamic method to evaluate "free sacro-capsule"pre-operation and post-operation effect,also evaluate bladder and urethral function.[Method]Twenty children were included in this study.[Result]All children had none damage after operation.The PVR and DLPP of post-operative group are significantly decreased.The BC and MCC of post-operation group was significantly higher than pre-operation group(P

Neurogenic Bladder in the Patients with Tethered Cord Syndrome: A case report

Tethered spinal cord syndrome can be defined as a low conus medullaris extending below L2 vertebral level and/or a thickened filum terminale above 2 mm in diameter. Among the neurologic symptoms, neurogenic bladder and bowel is the most common and leaves significant sequale that the patients being disabled not physically but socially. Early recognition and detethering operation are recommended but proper bladder management with regular follow-up should be accompanied for better prognosis. Here, three cases of the neurogenic bladder with tethered spinal cord syndrome who primarily had myelodysplasia are presented with review of the articles.

MRI Diagnosis of Tethered Spinal Cord Syndrome / 实用放射学杂志

Objective To study the MR features and diagnostic value of tethered cord syndrome(TCS).Methods MR findings of 30 cases with TCS were reviewed.All cases were confirmed by operation and pathology.Results In 30 cases,the levels of the tips of the conus were below the middle of L 2 vertebral body.Spinal cords were fixed as result of being drawn.MR findings were as follows:Single thickened and tightened filum terminale(4 cases,13%);Lipoid buld(13 cases,43%);Myeloey stocele(3 cases,10%);Meningcele(4 cases,13%);Tumor in spinalcannal(6 cases,20%) Included neurofibroma (2 cases),dermoid cyst (2 cases) and epidermoid (1 cases),teratoma(1 cases).Conclusion MRI with high soft tissue resolution and mutiple sections imaging is superior to any other imaging means,it can clearly demonstrate the position and shape of the spinal cord conus as well as the associated malformation.