Endoscopic Untethering of Tight Filum Terminale: An Operative Technique
| Autor: | Abuzer Güngör, Ali Dalgiç, Ali Erdem Yildirim, Melih Üçer, Onder Okay, Serhat Baydin, Ozhan Merzuk Uckun, Mustafa Kemal Coban |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Cauda Equina Transsphenoidal approach 03 medical and health sciences 0302 clinical medicine Neurologic deterioration Medicine Humans Neural Tube Defects Tethered Cord Child business.industry Endoscopy Length of Stay Endoscopic Procedure Surgery Perioperative blood loss Endoscopic surgical procedure medicine.anatomical_structure Female Neurology (clinical) Filum terminale business Hospital stay 030217 neurology & neurosurgery |
| Zdroj: | Turkish neurosurgery. 31(1) |
| ISSN: | 1019-5149 |
| Popis: | Aim To demonstrate the various technical advantages of minimally invasive endoscopic untethering of tight filum terminale for the treatment of tethered cord syndrome (TCS). Material and methods In five pediatric cases of TCS, we performed untethering by using the endoscopic technique. The age of the patients were 6, 7, 8, 9, and 12 years old. We used a nasal speculum of the transsphenoidal approach during the endoscopic surgical procedure. Results All the procedures were performed uneventfully, except for one case with a split cord malformation that showed neurologic deterioration caused by excision of the diastematomyelic fibrous septum at the thoracic level (unrelated to the endoscopic procedure at the L5-S1 level). This patient was referred to a rehabilitation clinic 5 days after surgery and showed significant improvement by the third postoperative month. The other four patients were discharged 1 day after the operation. Conclusion Endoscopic release of filum terminale is a safe technique especially if it is performed with neuromonitoring. This technique may shorten the length of hospital stay and reduce perioperative blood loss. However, futher studies with a larger number of patients and long-term follow-up are needed. |
| Databáze: | OpenAIRE |
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