Tethered spinal cord surgery recovery time
Tethered cord: the first week
The spinal cord must be able to travel freely within the spinal canal as a child develops. If a child’s spinal cord becomes trapped, it can stretch out like a rubber band as he or she develops. The spinal nerves can be permanently damaged as a result of this.
Our neurosurgeons are well-versed in the treatment of tethered spinal cords and the complications that can lead to them. We know that if the condition is not handled properly, it can cause permanent damage to a child’s spinal cord and loss of function, such as the ability to walk or regulate their bladder. Every week, we operate on one child with a tethered spinal cord.
During surgery, we use neuromonitoring. This allows our neurosurgeons to keep an eye on the nerves and muscles in your child’s lower body during surgery. Neuromonitoring aids neurosurgeons in preventing more nerve damage in your infant.
The doctor checks the child for signs and symptoms of a tethered spinal cord to make the diagnosis. An MRI will almost certainly be performed on your infant (magnetic resonance imaging). This test will allow the doctor to examine your child’s internal organs and determine their health.
“tethered cord syndrome and ehlers danlos syndrome
Inside the spinal canal, a typical spinal cord hangs and travels freely up and down as it grows, bends, and stretches. Since it is bound to the spinal column, a tethered spinal cord is unable to move. It is pulled tightly at the end, and the stretching and reduced blood supply can cause damage to the spinal cord. A child with Spina bifida may have a tethered cord but be asymptomatic, so surgical intervention is not always necessary. Hospital monitoring with frequent evaluations is recommended in asymptomatic cases that do not necessitate surgery.
If your child needs surgery, an incision is made in the lower back, and a small portion of the bony vertebrae will need to be removed to allow for easier access to the spinal cord. The spinal cord is gently dissected away from its attachments, and the incision is closed with sutures and a dressing.
After surgery, most children will spend 5-7 days in the hospital. It will be necessary to keep the wound clean and dry. Any bleeding from the wound or symptoms of infection must be reported to the doctors as soon as possible while in the hospital and/or after being discharged. Before you go home, the wound will be treated by physicians and fresh dressings will be applied. A physiotherapist will evaluate your child during their hospital stay to ensure that they are able to move about and to answer any questions you might have.
Tethered cord and its treatment | boston children’s hospital
When the spinal cord is tethered to tissue around the spine, most usually at the base, it is known as a tethered spinal cord. The spinal cord cannot travel freely inside the spinal canal as a result. As the spine grows, the spinal cord can stretch out, potentially causing nerve damage, pain, and other symptoms. In the vast majority of situations, the disease worsens over time.
The good news is that a tethered spinal cord is a very treatable condition, especially if detected and treated early. The most popular procedure for “untethering” the spinal cord from the spinal tissue is surgery.
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Rubinstein-taybi syndrome: neurosurgery | cincinnati
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Tissue attachments that hinder the mobility of the spinal cord inside the spinal column cause tethered spinal cord syndrome, a neurologic condition. The spinal cord is bent abnormally as a result of these attachments. Spina bifida is closely related to this condition. It’s estimated that 20-50 percent of children with spina bifida who have their defects corrected soon after birth will need surgery to untether their spinal cord at some stage.
In the upper portion of the lower back, the lower tip of the spinal cord is usually situated opposite the disc between the first and second lumbar vertebrae. The spinal cord fails to break from the back skin during development in people with spina bifida (myelomeningocele), preventing the spinal cord from ascending normally; as a result, the spinal cord is low-lying, or tethered. The lower tip of the spinal cord in patients with a lipomyelomeningocele may have fat, and this fat may bind to the fat that overlies the thecal sac (a fluid-filled sac in which the spinal cord “floats”), causing thethering.