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Sysoev K.V.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Tadevosyan A.R.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Nazinkina Yu.V.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Khachatrian V.A.

FGBU "Rossiĭskiĭ nauchno-issledovatel'skiĭ neĭrokhirurgicheskiĭ institut im. prof. A.L. Polenova" Minzdrava Rossii, Sankt-Peterburg

Surgical treatment outcomes in children with tethered spinal cord syndrome. A prognosis on the basis of spinal 3T MRI tractography

Authors:

Sysoev K.V., Tadevosyan A.R., Nazinkina Yu.V., Khachatrian V.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2016;80(3): 66‑73

DOI: 10.17116/neiro201680366-73

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Table of contents

SURGICAL TREATMENT OUTCOMES IN CHILDREN WITH TETHERED SPINAL CORD SYNDROME. A PROGNOSIS ON THE BASIS OF SPINAL 3T MRI TRACTOGRAPHY
SURGICAL TREATMENT OUTCOMES IN CHILDREN WITH TETHERED SPINAL CORD SYNDROME. A PROGNOSIS ON THE BASIS OF SPINAL 3T MRI TRACTOGRAPHY

To cite this article:

Sysoev KV, Tadevosyan AR, Nazinkina YuV, Khachatrian VA. Surgical treatment outcomes in children with tethered spinal cord syndrome. A prognosis on the basis of spinal 3T MRI tractography. Burdenko's Journal of Neurosurgery. 2016;80(3):66‑73. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201680366-73

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
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Abstract:

Objective. The study objective was to identify factors affecting surgical treatment outcomes in children with tethered cord syndrome (TCS). Material and methods. The study included 21 TCS patients aged 1 to 14 years who underwent tethered cord release. The preoperative and postoperative data of clinical and neurophysiological examination and high field (3T) MRI tractography of the caudal spinal cord were compared. Results. Regression of the TCS clinical and electrophysiological signs and the lack of pathological changes in the spinal cord tracts were observed in patients with filum terminale abnormalities and caudal lipomas after surgery. In patients with secondary spinal cord tethering caused by scar formation after lumbosacral myelomeningocele repair, a motor deficit was related to the interruption level of the spinal tracts, and surgical treatment did not lead to significant regression of the TCS clinical and electrophysiological signs. Conclusion. We consider the absence of pathological changes in the caudal spinal cord, based on spinal MRI tractography, as a favorable prognostic factor in TCS surgical treatment.

Keywords:

spina bifida
tethered cord syndrome
MRI tractography
diagnosis
surgical treatment

Authors:

Sysoev K.V.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Tadevosyan A.R.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Nazinkina Yu.V.

Polenov Russian Scientific Research Institute of Neurosurgery - the branch of Federal Almazov North-West Medical Research Centre, St.-Petersburg

Khachatrian V.A.

FGBU "Rossiĭskiĭ nauchno-issledovatel'skiĭ neĭrokhirurgicheskiĭ institut im. prof. A.L. Polenova" Minzdrava Rossii, Sankt-Peterburg

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