Spinal Deformity Characteristics Associated With Intraspinal Anomalies in a Population of Presumed Adolescent Idiopathic Scoliosis (AIS).
Intraspinal anomalies (IA) are reported to occur in 7% to 19% of patients undergoing surgery for adolescent idiopathic scoliosis (AIS). However, these studies have not focused on IA that require neurosurgical intervention and have not assessed whether deformity characteristics predict their underlyi…
Symptomatic and Urodynamic Outcomes After Spinal Cord De-Tethering in Primary Tethered Cord Patients.
It is controversial whether surgical correction of tethered spinal cord in non-myelomeningocele tethered cord patients results in reversal versus stabilization of urologic (GU), gastrointestinal (GI), and musculoskeletal (MSK) symptoms. To determine factors associated with clinical improvement in sy…
Scoliosis in Escobar Syndrome: Retrospective Review of Surgical Outcomes, Risks, and Radiographic Patterns.
Escobar syndrome (ES) is a rare, nonlethal form of multiple pterygium syndrome, primarily characterized by joint contractures, pterygium formation, craniofacial anomalies, and scoliosis. Although scoliosis is frequently reported in ES, there is limited literature describing the broader spectrum of c…
Tethered Cord Syndrome and Spinal Epidural Lipomatosis in a Child With RALA -Associated Hiatt-Neu-Cooper Syndrome.
Pathogenic variants in RALA cause Hiatt-Neu-Cooper syndrome, a rare and clinically complex neurodevelopmental condition characterized by developmental delay, hypotonia, and intellectual disability, with distinctive craniofacial features. The disease is also associated with variably occurring seizure…
Acupuncture as an Adjuvant Therapy for Tethered Cord Syndrome: A Case Report.
Tethered cord syndrome (TCS) is defined as a diverse clinical condition wherein excessive tension on the spinal cord produces a variety of symptoms and signs. Its clinical symptoms include motor deficits, deformities of the lower extremities, lower leg sensory deficits, pain in the lower extremities…
Invasive Spinal Neuromodulation for Chronic Pain in Pediatric Patients: A Scoping Review.
Chronic pain affects up to 21% of pediatric patients and significantly impairs function and quality of life. Although spinal neuromodulation, including spinal cord stimulation (SCS) and dorsal root ganglion stimulation (DRG-S), has demonstrated efficacy in adults, evidence in children remains limite…
Complications and outcomes of spinal deformity correction in patient with open neural tube defects.
To evaluate surgical complications, functional and neurological outcomes of spinal deformity correction in children who underwent open neural tube defects (ONTDs) repair earlier. We analyzed 65 patients with treated ONTDs (myelomeningocele and myeloschisis) who underwent spinal deformity correction…
Minimally Invasive Keyhole Interlaminar Detethering for Symptomatic Fatty Filum Terminale in Pediatric Patients: An Operative Technique.
Fatty filum terminale (FFT) is a common cause of tethered cord syndrome (TCS) in children. Traditional detethering often requires laminectomy, which increases surgical trauma and complications. This study aimed to evaluate the safety and efficacy of a minimally invasive keyhole interlaminar approach…