Urodynamic evaluation of bladder function in patients with urinary incontinence secondary to congenital tethered cord syndrome after homogeneous spinal-shortening axial decompression procedure

Xu, Ximing; Sun, Kaiqiang; Sun, Jingchuan; Wang, Yuan; Zhu, Jian; Yuan, Xiaoqiu; Chenglong, Ji; Guo, Yongfei

doi:10.1007/s00586-021-07011-y

Cited by 1 publication

(1 citation statement)

References 28 publications

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“…66,67 Reports on various approaches to spinal shortening include the classic techniques of pedicle subtraction osteotomy and vertebral column resection, 66,67 as well as the homogeneous spinalshortening axial decompression technique. [68][69][70] These procedures are primarily used for recurrent TCS, and there is limited research on the use of these techniques for primary TCS.…”

Section: Treatment and Prognosismentioning

confidence: 99%

Tethered cord syndrome from pediatric and adult perspectives: a comprehensive systematic review of 6135 cases

He,

Wang,

Liu

et al. 2024

Neurosurgical Focus

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OBJECTIVE This study aimed to investigate the differences in clinical features, diagnostic examination, treatment, and pathological results between adult-onset and pediatric-onset tethered cord syndrome (TCS). METHODS The authors searched the PubMed, Embase, and Cochrane Library databases through January 2023 for reports on TCS, extracting information on clinical features, imaging data, treatment modalities, prognosis, and pathological research results. A total of 6135 cases from 246 articles were included in the analysis. This review was conducted in accordance with the 2020 PRISMA guidelines and registered on PROSPERO. RESULTS The most common adult clinical manifestations were pain, urinary symptoms, and numbness; in children, they were urinary symptoms, skin lesions, bowel symptoms, and unspecific motor deficits. Surgical treatment was the primary approach for both adults and children, with a higher clinical improvement rate observed in adults. However, adults also had a higher rate of surgical complications than children. TCS pathological studies have not yet identified the differences between adults and children, and the pathogenesis of adult-onset TCS requires further investigation. CONCLUSIONS Adult-onset and pediatric-onset TCS exhibit certain differences in clinical characteristics, diagnostic examinations, and treatments. However, significant differences have not been found in current pathological studies between adults and children. Systematic review registration no.: CRD42023479450 (www.crd.york.ac.uk/prospero)

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