Cutting filum terminale is very important in split cord malformation cases to achieve total release

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dc.contributor.authorBarutcuoglu M.
dc.contributor.authorSelcuki M.
dc.contributor.authorSelcuki D.
dc.contributor.authorUmur S.
dc.contributor.authorMete M.
dc.contributor.authorGurgen S.G.
dc.contributor.authorUmur
dc.date.accessioned2024-07-22T08:13:54Z
dc.date.available2024-07-22T08:13:54Z
dc.date.issued2015
dc.description.abstractAim: Split cord malformations (SCMs) are rare congenital anomalies of the vertebrae and the spinal cord. Tethered cord syndrome (TCS) is a clinical condition of various origins that arises from tension on the spinal cord. Radiographic findings may include and/or associate split cord malformations and the other neural tube defects. However, the spinal cord can even be tethered by a filum terminale with normal appearance and normal level conus medullaris in magnetic resonance imaging (MRI). The aim of our study is to show whether SMC patients with normal or abnormal MRI findings had all histological abnormal filum terminale and also to show that the standard SCM repairing operation without cutting filum will not achieve total release.; Material and methods: We have reviewed 33 SCM patients between July 2005 and December 2013. They were operated by adding untethering procedure of filum terminale following standard surgical intervention, and a part of the filum was taken for histopathological examination even though MRI did not show the presence of abnormality of filum terminale.; Results: We found that abnormal filum terminale with a normal appearance may had dense collagen fibers, wide and numerous capillaries, and hyaline formation, while normal filum terminale is a mixture of collagen fibers and blood vessels. We did not obtain positive Verhoeff elastic fiber staining. The elastic fibers had disappeared in all fila terminalia, except control cadaver group.; Conclusion: Our results showed that all fila of SCM patients had loss of elastic fibers and increased of hyalinization, which means loss of elasticity of filum terminale. Less severe traction may remain asymptomatic in childhood and present with neurological dysfunction later in life. For this reason, surgical procedure of SCM patients including releasing of filum terminale seems more beneficial for the patients and be better for long term. © 2014, Springer-Verlag Berlin Heidelberg.
dc.identifier.DOI-ID10.1007/s00381-014-2586-1
dc.identifier.issn02567040
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16441
dc.language.isoEnglish
dc.publisherSpringer Verlag
dc.subjectAdolescent
dc.subjectAdult
dc.subjectCauda Equina
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectMagnetic Resonance Imaging
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectSpinal Cord
dc.subjectSpinal Cord Diseases
dc.subjectTomography Scanners, X-Ray Computed
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.subjectantibiotic agent
dc.subjectadolescent
dc.subjectadult
dc.subjectantibiotic prophylaxis
dc.subjectArticle
dc.subjectblood vessel
dc.subjectcadaver
dc.subjectcapillary hemangioma
dc.subjectchild
dc.subjectclinical article
dc.subjectcollagen fiber
dc.subjectcontrolled study
dc.subjectelastic fiber
dc.subjectfeces incontinence
dc.subjectfemale
dc.subjectfilum terminale
dc.subjectfluoroscopy
dc.subjectfoot malformation
dc.subjecthistopathology
dc.subjecthuman
dc.subjecthuman tissue
dc.subjecthypertrichosis
dc.subjectimmunohistochemistry
dc.subjectinfant
dc.subjectkyphoscoliosis
dc.subjectlaminectomy
dc.subjectleg pain
dc.subjectlipomyelomeningocele
dc.subjectliquorrhea
dc.subjectlow back pain
dc.subjectmale
dc.subjectmeningocele
dc.subjectmeningomyelocele
dc.subjectnuclear magnetic resonance imaging
dc.subjectoccult spinal dysraphism
dc.subjectoutcome assessment
dc.subjectpostoperative infection
dc.subjectpriority journal
dc.subjectspinal cord malformation
dc.subjectspinal cord surgery
dc.subjectspine radiography
dc.subjectsplit cord malformation
dc.subjecttethered cord syndrome
dc.subjecturine incontinence
dc.subjectcauda equina
dc.subjectcomputed tomography scanner
dc.subjectcongenital malformation
dc.subjectmiddle aged
dc.subjectnewborn
dc.subjectpathophysiology
dc.subjectpreschool child
dc.subjectradiography
dc.subjectretrospective study
dc.subjectspinal cord
dc.subjectSpinal Cord Diseases
dc.subjecttreatment outcome
dc.subjectyoung adult
dc.titleCutting filum terminale is very important in split cord malformation cases to achieve total release
dc.typeArticle

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