Tethered cord syndrome

Not yet reviewed

This information is AI generated and has not yet been reviewed by a specialist physician. AI can make mistakes.

Disease overview

mostly in utero/newborn/infants but can be diagnosed as late as adulthood: Tissue attachments, often at the base of the spinal cord, limit its movement and cause stretch tension on the spinal cord.

Common symptoms

Progressive leg and lower back painleg numbnessgait disturbancesleg and spine deformitybladder and bowel incontinence. Often linked with spina bifida.

When to suspect

  • Recommendation 1

    MRI imaging to observe position/attachment of spinal cord

  • Recommendation 2

    can also use CT and myelogram.

How to test

  • Recommendation 1

    MRI imaging to observe position/attachment of spinal cord

  • Recommendation 2

    can also use CT and myelogram.

ZebraMD is partnering with Ambry Genetics for clinical-grade whole genome testing for rare diseases. Ambry accepts insurance. If you don’t have a physician to order this test, join our referral list and our team will reach out.

Treatment

  • Recommendation 1

    Surgical untethering recommended for all children to prevent progressive deterioration

  • Recommendation 2

    recommended for all symptomatic adults.

Primary care

  • Recommendation 1

    Physical therapy can be benficial in postsurgical recovery. 10-20% of children may need a second untethering surgery if symptoms return.

Further support

  • Recommendation 1

    Referral to neurosurgery for treatment and physical therapy for follow-up care. Referral to Medical Genetics Department, if available. Initial virtual care is also available through organizations like TeleRare Health.

Clinical trials

Clinical Trials

Sources

No data available

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