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Spine-shortening vertebral osteotomy for tethered cord syndrome: report of three cases
Retrospective case series. To review findings from 3 patients who underwent spine-shortening vertebral osteotomy for tethered cord syndrome with a minimum follow-up of 3 years. Surgical detethering is the gold standard for symptomatic tethered cord syndrome. However, complications such as cerebrospi...
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| Published in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2009-10, Vol.34 (22), p.E823-E825 |
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| container_end_page | E825 |
| container_issue | 22 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
| container_volume | 34 |
| creator | Miyakoshi, Naohisa Abe, Eiji Suzuki, Tetsuya Kido, Tadato Chiba, Mitsuho Shimada, Yoichi |
| description | Retrospective case series.
To review findings from 3 patients who underwent spine-shortening vertebral osteotomy for tethered cord syndrome with a minimum follow-up of 3 years.
Surgical detethering is the gold standard for symptomatic tethered cord syndrome. However, complications such as cerebrospinal fluid leakage and neurologic deterioration are common. Spine-shortening vertebral osteotomy, proposed by Kokubun, is an alternative surgical technique to reduce neural tension indirectly. However, case series of this novel procedure for tethered cord syndrome have not been reported in the English literature.
Three patients aged 13, 22, and 27 years presented with progressive pain and/or neurologic dysfunction. They underwent spine-shortening vertebral osteotomy of L1 with a pedicle screw and rod system. Their clinical and radiologic outcomes are reviewed.
All patients got relief from their preoperative symptoms after surgery, and no complications occurred. Complete bone union was obtained in all patients without correction loss.
Spine-shortening vertebral osteotomy can be a safe and alternative surgical technique for tethered cord syndrome. |
| doi_str_mv | 10.1097/BRS.0b013e3181af2607 |
| format | article |
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To review findings from 3 patients who underwent spine-shortening vertebral osteotomy for tethered cord syndrome with a minimum follow-up of 3 years.
Surgical detethering is the gold standard for symptomatic tethered cord syndrome. However, complications such as cerebrospinal fluid leakage and neurologic deterioration are common. Spine-shortening vertebral osteotomy, proposed by Kokubun, is an alternative surgical technique to reduce neural tension indirectly. However, case series of this novel procedure for tethered cord syndrome have not been reported in the English literature.
Three patients aged 13, 22, and 27 years presented with progressive pain and/or neurologic dysfunction. They underwent spine-shortening vertebral osteotomy of L1 with a pedicle screw and rod system. Their clinical and radiologic outcomes are reviewed.
All patients got relief from their preoperative symptoms after surgery, and no complications occurred. Complete bone union was obtained in all patients without correction loss.
Spine-shortening vertebral osteotomy can be a safe and alternative surgical technique for tethered cord syndrome.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3181af2607</identifier><identifier>PMID: 19829247</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Cauda Equina - abnormalities ; Cauda Equina - pathology ; Cauda Equina - surgery ; Female ; Gait Disorders, Neurologic - etiology ; Gait Disorders, Neurologic - physiopathology ; Gait Disorders, Neurologic - surgery ; Humans ; Internal Fixators ; Laminectomy - adverse effects ; Laminectomy - methods ; Low Back Pain - etiology ; Low Back Pain - physiopathology ; Low Back Pain - surgery ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Magnetic Resonance Imaging ; Male ; Neural Tube Defects - diagnostic imaging ; Neural Tube Defects - pathology ; Neural Tube Defects - surgery ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - methods ; Osteotomy - instrumentation ; Osteotomy - methods ; Polyradiculopathy - etiology ; Polyradiculopathy - physiopathology ; Polyradiculopathy - surgery ; Postoperative Complications - etiology ; Postoperative Complications - physiopathology ; Postoperative Complications - prevention & control ; Radiography ; Spinal Fusion - instrumentation ; Spinal Fusion - methods ; Spine - diagnostic imaging ; Spine - pathology ; Spine - surgery ; Thoracic Vertebrae - diagnostic imaging ; Thoracic Vertebrae - pathology ; Thoracic Vertebrae - surgery ; Treatment Outcome ; Urinary Bladder, Neurogenic - etiology ; Urinary Bladder, Neurogenic - physiopathology ; Urinary Bladder, Neurogenic - surgery ; Young Adult</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2009-10, Vol.34 (22), p.E823-E825</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c170t-acff2b21ecbfaa8c9e28641301effb7fb3fc80e2f143c0857ca59ad68e7cb62e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19829247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyakoshi, Naohisa</creatorcontrib><creatorcontrib>Abe, Eiji</creatorcontrib><creatorcontrib>Suzuki, Tetsuya</creatorcontrib><creatorcontrib>Kido, Tadato</creatorcontrib><creatorcontrib>Chiba, Mitsuho</creatorcontrib><creatorcontrib>Shimada, Yoichi</creatorcontrib><title>Spine-shortening vertebral osteotomy for tethered cord syndrome: report of three cases</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>Retrospective case series.
To review findings from 3 patients who underwent spine-shortening vertebral osteotomy for tethered cord syndrome with a minimum follow-up of 3 years.
Surgical detethering is the gold standard for symptomatic tethered cord syndrome. However, complications such as cerebrospinal fluid leakage and neurologic deterioration are common. Spine-shortening vertebral osteotomy, proposed by Kokubun, is an alternative surgical technique to reduce neural tension indirectly. However, case series of this novel procedure for tethered cord syndrome have not been reported in the English literature.
Three patients aged 13, 22, and 27 years presented with progressive pain and/or neurologic dysfunction. They underwent spine-shortening vertebral osteotomy of L1 with a pedicle screw and rod system. Their clinical and radiologic outcomes are reviewed.
All patients got relief from their preoperative symptoms after surgery, and no complications occurred. Complete bone union was obtained in all patients without correction loss.
Spine-shortening vertebral osteotomy can be a safe and alternative surgical technique for tethered cord syndrome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cauda Equina - abnormalities</subject><subject>Cauda Equina - pathology</subject><subject>Cauda Equina - surgery</subject><subject>Female</subject><subject>Gait Disorders, Neurologic - etiology</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Gait Disorders, Neurologic - surgery</subject><subject>Humans</subject><subject>Internal Fixators</subject><subject>Laminectomy - adverse effects</subject><subject>Laminectomy - methods</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - physiopathology</subject><subject>Low Back Pain - surgery</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Neural Tube Defects - diagnostic imaging</subject><subject>Neural Tube Defects - pathology</subject><subject>Neural Tube Defects - surgery</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - methods</subject><subject>Osteotomy - instrumentation</subject><subject>Osteotomy - methods</subject><subject>Polyradiculopathy - etiology</subject><subject>Polyradiculopathy - physiopathology</subject><subject>Polyradiculopathy - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Radiography</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><subject>Spine - diagnostic imaging</subject><subject>Spine - pathology</subject><subject>Spine - surgery</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Thoracic Vertebrae - pathology</subject><subject>Thoracic Vertebrae - surgery</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Bladder, Neurogenic - physiopathology</subject><subject>Urinary Bladder, Neurogenic - surgery</subject><subject>Young Adult</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpdkF1LwzAUhoMobk7_gUjuvOrMR5uk3unwCwaCU29Lkp64StvUJBP2761sIHj1nov3OS88CJ1TMqeklFe3L6s5MYRy4FRR7Zgg8gBNacFURmlRHqIp4YJlLOdigk5i_CSECE7LYzShpWIly-UUva-Gpocsrn1I0Df9B_6G8TJBt9jHBD75boudDzhBWkOAGlsfahy3fR18B9c4wDCy2Duc1gEAWx0hnqIjp9sIZ_ucobf7u9fFY7Z8fnha3CwzSyVJmbbOMcMoWOO0VrYEpkROOaHgnJHOcGcVAeZozi1RhbS6KHUtFEhrBAM-Q5e7v0PwXxuIqeqaaKFtdQ9-EyvJc6JULtjYzHdNG3yMAVw1hKbTYVtRUv0KrUah1X-hI3axH9iYDuo_aG-Q_wBfbXUK</recordid><startdate>20091015</startdate><enddate>20091015</enddate><creator>Miyakoshi, Naohisa</creator><creator>Abe, Eiji</creator><creator>Suzuki, Tetsuya</creator><creator>Kido, Tadato</creator><creator>Chiba, Mitsuho</creator><creator>Shimada, Yoichi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091015</creationdate><title>Spine-shortening vertebral osteotomy for tethered cord syndrome: report of three cases</title><author>Miyakoshi, Naohisa ; Abe, Eiji ; Suzuki, Tetsuya ; Kido, Tadato ; Chiba, Mitsuho ; Shimada, Yoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c170t-acff2b21ecbfaa8c9e28641301effb7fb3fc80e2f143c0857ca59ad68e7cb62e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cauda Equina - abnormalities</topic><topic>Cauda Equina - pathology</topic><topic>Cauda Equina - surgery</topic><topic>Female</topic><topic>Gait Disorders, Neurologic - etiology</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Gait Disorders, Neurologic - surgery</topic><topic>Humans</topic><topic>Internal Fixators</topic><topic>Laminectomy - adverse effects</topic><topic>Laminectomy - methods</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - physiopathology</topic><topic>Low Back Pain - surgery</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Neural Tube Defects - diagnostic imaging</topic><topic>Neural Tube Defects - pathology</topic><topic>Neural Tube Defects - surgery</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - methods</topic><topic>Osteotomy - instrumentation</topic><topic>Osteotomy - methods</topic><topic>Polyradiculopathy - etiology</topic><topic>Polyradiculopathy - physiopathology</topic><topic>Polyradiculopathy - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Radiography</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><topic>Spine - diagnostic imaging</topic><topic>Spine - pathology</topic><topic>Spine - surgery</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Thoracic Vertebrae - pathology</topic><topic>Thoracic Vertebrae - surgery</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Bladder, Neurogenic - physiopathology</topic><topic>Urinary Bladder, Neurogenic - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyakoshi, Naohisa</creatorcontrib><creatorcontrib>Abe, Eiji</creatorcontrib><creatorcontrib>Suzuki, Tetsuya</creatorcontrib><creatorcontrib>Kido, Tadato</creatorcontrib><creatorcontrib>Chiba, Mitsuho</creatorcontrib><creatorcontrib>Shimada, Yoichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyakoshi, Naohisa</au><au>Abe, Eiji</au><au>Suzuki, Tetsuya</au><au>Kido, Tadato</au><au>Chiba, Mitsuho</au><au>Shimada, Yoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spine-shortening vertebral osteotomy for tethered cord syndrome: report of three cases</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2009-10-15</date><risdate>2009</risdate><volume>34</volume><issue>22</issue><spage>E823</spage><epage>E825</epage><pages>E823-E825</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>Retrospective case series.
To review findings from 3 patients who underwent spine-shortening vertebral osteotomy for tethered cord syndrome with a minimum follow-up of 3 years.
Surgical detethering is the gold standard for symptomatic tethered cord syndrome. However, complications such as cerebrospinal fluid leakage and neurologic deterioration are common. Spine-shortening vertebral osteotomy, proposed by Kokubun, is an alternative surgical technique to reduce neural tension indirectly. However, case series of this novel procedure for tethered cord syndrome have not been reported in the English literature.
Three patients aged 13, 22, and 27 years presented with progressive pain and/or neurologic dysfunction. They underwent spine-shortening vertebral osteotomy of L1 with a pedicle screw and rod system. Their clinical and radiologic outcomes are reviewed.
All patients got relief from their preoperative symptoms after surgery, and no complications occurred. Complete bone union was obtained in all patients without correction loss.
Spine-shortening vertebral osteotomy can be a safe and alternative surgical technique for tethered cord syndrome.</abstract><cop>United States</cop><pmid>19829247</pmid><doi>10.1097/BRS.0b013e3181af2607</doi></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2009-10, Vol.34 (22), p.E823-E825 |
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| subjects | Adolescent Adult Cauda Equina - abnormalities Cauda Equina - pathology Cauda Equina - surgery Female Gait Disorders, Neurologic - etiology Gait Disorders, Neurologic - physiopathology Gait Disorders, Neurologic - surgery Humans Internal Fixators Laminectomy - adverse effects Laminectomy - methods Low Back Pain - etiology Low Back Pain - physiopathology Low Back Pain - surgery Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Magnetic Resonance Imaging Male Neural Tube Defects - diagnostic imaging Neural Tube Defects - pathology Neural Tube Defects - surgery Neurosurgical Procedures - adverse effects Neurosurgical Procedures - methods Osteotomy - instrumentation Osteotomy - methods Polyradiculopathy - etiology Polyradiculopathy - physiopathology Polyradiculopathy - surgery Postoperative Complications - etiology Postoperative Complications - physiopathology Postoperative Complications - prevention & control Radiography Spinal Fusion - instrumentation Spinal Fusion - methods Spine - diagnostic imaging Spine - pathology Spine - surgery Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - pathology Thoracic Vertebrae - surgery Treatment Outcome Urinary Bladder, Neurogenic - etiology Urinary Bladder, Neurogenic - physiopathology Urinary Bladder, Neurogenic - surgery Young Adult |
| title | Spine-shortening vertebral osteotomy for tethered cord syndrome: report of three cases |
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