TETHERED CORD SYNDROME RELEASE IN PEDIATRIC POPULATION: THE SURGICAL AUDIT AT ALI INSTITUTE OF NEUROSCIENCES, IRFAN GENERAL HOSPITAL, PESHAWAR

Authors

  • Mumtaz Ali Ali Institute of Neurosciences,Irfan General Hospital Peshawar
  • Akram Ullah Ali Institute of Neurosciences,Irfan General Hospital Peshawar
  • Ramzan Hussain Ali Institute of Neurosciences, Irfan general Hospital Peshawar
  • Hanif Ur Rahman Ali Institute of Neurosciences,Irfan General Hospital Peshawar
  • Sajid Khan Ali Institute of Neurosciences,Irfan General Hospital Peshawar
  • Amjad Ali Ali Institute of Neurosciences,Irfan General Hospital Peshawar

Abstract

BACKGROUND: Tethered cord syndrome, is a disease characterized by neurological, gastrointestinal, musculoskeletal, and urinary problems related to spinal cord traction. It may be present alone, although it is commonly a part of undetected spinal dysraphism. A tethered cord release open surgery is the current standard of care management for TCS. TCR is frequently used in pediatric patients, particularly because the earlier intervention is frequently advised for better results.

OBJECTIVE: The aim of this retrospective study was to investigates the outcomes and perform audit of the tethered Cord Syndrome release in pediatric population.

METHODOLOGY: The records of total of 37 patients who underwent surgical release for tethered cord syndrome from January 2015 to December 2022 were evaluated at Ali Institute of Neurosciences, Irfan General Hospital, Peshawar. Patient demographics, clinical presentations, and outcomes were analyzed. Data were analyzed using descriptive statistics by using SPSS software version 26.

RESULTS: Mean age of the participants was 10.5 years. Majority were females 22(59.46%) as compared to males 15 (40.54%). Clinical manifestations encompassed a spectrum of symptoms, including leg weakness (75.7%), foot deformity (48.6%), and trophic ulcers (40.5%). 40.5% of patients experienced a significant enhancement in motor function.

CONCLUSION: The results of our study concluded that release of tethered cord syndrome is an effective and safe surgical procedure associated with improved clinical outcomes in terms of symptomatic relief and improvements in motor and sensory functions. However, the procedure is also associated with mild complications.

KEY WORDS: Clinical Outcomes, Neurological Improvement, Pediatric Neurosurgery, Surgical Release, Tethered Cord Syndrome

Published

12/29/2023

How to Cite

Ali, M., Ullah, A., Hussain, R., Ur Rahman, H., Khan, S., & Ali, A. (2023). TETHERED CORD SYNDROME RELEASE IN PEDIATRIC POPULATION: THE SURGICAL AUDIT AT ALI INSTITUTE OF NEUROSCIENCES, IRFAN GENERAL HOSPITAL, PESHAWAR. NORTHWEST JOURNAL OF MEDICAL SCIENCES, 2(4), 8–12. Retrieved from https://njms.pk/index.php/njms/article/view/358