Out Come of Surgical Management of Tethered Cord Syndrome

  • Dr. M. Ajmal Khan Lahore General Hospital, Lahore
  • Dr. Mukhtiar Ahmad Lahore General Hospital, Lahore
  • Dr. Fauzia Sajjad Lahore General Hospital, Lahore
  • Dr. Sundas Ali Lahore General Hospital, Lahore
Keywords: Tethered cord syndrome, neurological outcome, back pain, motor function, urinary incontinence

Abstract

Objective: To determine neurological outcome after surgical management of tethered cord syndrome.

Material and Methods: This descriptive study was conducted in the department of Neurosurgery, Lahore General Hospital Lahore. Over a period of Three Years From 2012 to 2014. Study Comprised of Fifty Patients after fulfilling the inclusion and exclusion criteria.

Results: The mean age of the patients was 36 ± 10 Years There were 30 (60.0%) male and 20 (40.0%) female patients. There was improvement in neurological status. The distribution of improvement in neurological status, revealed 35 (70.0%) patients had improvement in back pain, 18 (36.0%) improved motor function and 17 (34.0%) improved urinary incontinence.

Conclusion: It is concluded from this study that back pain, motor function and urinary incontinence improve postoperatively in the majority of patients. The rate of symptomatic improvement was greatest for back pain, followed by motor, and then urinary improvement.

Abbreviations: TCS: Tethered Cord Syndrome. ATCS: Adult Tethered Cord Syndrome.

Author Biographies

Dr. M. Ajmal Khan, Lahore General Hospital, Lahore

Department of Neurosurgery

Dr. Mukhtiar Ahmad, Lahore General Hospital, Lahore

Department of Neurosurgery

Dr. Fauzia Sajjad, Lahore General Hospital, Lahore

Department of Neurosurgery

Dr. Sundas Ali, Lahore General Hospital, Lahore

Department of Neurosurgery

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Published
2015-12-25
Section
Original Articles