• 102, Bhagyatara Society Erandwane,
NEWS This is the latest News !
  • 102, Bhagyatara Society Erandwane,
NEWS This is the latest News !
open-navigation
close-navigation
BOOK NOW
Consultation for second opinion
open-navigation
close-navigation
Book Appointment
Book Appointment
open-navigation
close-navigation
BOOK NOW
Book Appointment

Tethered Cord Syndrome

The spinal cord, a bundle of nerves extending from the brain, is normally a flexible structure that moves freely within the spinal column. In Tethered Cord Syndrome, however, tissue attachments limit the spinal cord’s movement. This creates tension and stretching, especially with growth and movement, which can lead to progressive neurological, motor, and sensory problems. It is a serious neurological disorder that requires timely diagnosis and intervention to prevent permanent damage.

In Pune, India, Dr. Jaydev Panchwagh, a highly specialized neurosurgeon, offers a precise surgical solution for Tethered Cord Syndrome. His expertise in delicate spinal cord surgery is crucial for releasing the “tether” and allowing the spinal cord to regain its normal, unrestricted movement.

Tethered Cord Syndrome: Conditions, Symptoms, Diagnosis, Treatment and Best Options

What is Tethered Cord Syndrome?

Tethered Cord Syndrome is a neurological disorder caused by tissue attachments that anchor the spinal cord to the spinal canal. This prevents the spinal cord from ascending and moving freely as the body grows and flexes. This abnormal tension can stretch the spinal cord and cause a variety of neurological and orthopedic problems.

 

The condition can be present at birth (congenital), often associated with spina bifida or other spinal developmental defects. It can also be acquired later in life due to scar tissue that forms after a spinal injury, previous back surgery, or from a tumor or infection. Early diagnosis is key, especially in children, to prevent long-term, irreversible damage.

The symptoms of a tethered spinal cord can vary widely and often become more pronounced with age and growth spurts. Common signs and symptoms include:

  • Lower Back Pain: Pain in the lower back that can radiate down the legs. This is often the first symptom in adults.
  • Neurological Problems in the Legs: Weakness, numbness, or tingling in the legs, or difficulty with walking and coordination.
  • Bladder or Bowel Dysfunction: Loss of bladder or bowel control or recurrent urinary tract infections.
  • Orthopedic Problems: Deformities of the feet, such as high arches or curled toes, or a difference in leg length.
  • Visible Signs on the Skin: In infants and children, a visible sign on the lower back can be a key indicator. This can include a fatty lump, a small dimple, a patch of hair, or a reddish birthmark.

Tethered Cord Syndrome is most often caused by a congenital defect. The most common causes include:

  • Spina Bifida: Particularly a milder form called spina bifida occulta, where the spinal cord is not completely closed.
  • Tight Filum Terminale: The filum terminale is a fibrous thread at the end of the spinal cord. If it is abnormally thick and short, it can “tether” the cord.
  • Tumors or Cysts: A tumor or cyst at the end of the spinal cord can cause scar tissue and tether the cord.
  • Spinal Trauma or Surgery: Scar tissue from a prior spinal surgery or injury can cause the acquired form of the condition.

Early diagnosis is crucial for preventing permanent neurological deficits. Dr. Jaydev Panchwagh uses a precise diagnostic approach to confirm the presence of a tethered spinal cord:

  • Neurological and Physical Examination: A thorough examination will assess for any physical signs on the lower back, as well as neurological symptoms such as muscle weakness, altered reflexes, or sensory changes.
  • Imaging Tests:
    • MRI (Magnetic Resonance Imaging): An MRI of the spine is the gold standard for diagnosing tethered cord syndrome. It provides highly detailed images of the spinal cord and can clearly show if it is attached to the spinal column and the cause of the tether.

The only definitive treatment for Tethered Cord Syndrome is surgical intervention. The goal of the surgery is to release the tethered spinal cord and allow it to move freely, thereby relieving the tension and preventing further neurological damage.

  • Surgical De-tethering: The procedure is performed under general anesthesia. A small incision is made in the lower back to expose the spinal column. Using a high-power operating microscope, the neurosurgeon carefully separates the spinal cord from the surrounding fibrous tissue or other structures causing the tether. The surgeon takes great care to avoid damaging the delicate spinal cord and nerves.
  • Post-operative Care: After the procedure, the patient is monitored for a few days. Recovery is generally straightforward, but may require rehabilitation to help regain lost neurological function.

Why Choose Dr. Jaydev Panchwagh for Tethered Cord Surgery?

Tethered cord surgery requires a neurosurgeon with a unique set of skills in pediatric and adult spinal surgery, as well as an expertise in microsurgery. Dr. Jaydev Panchwagh in Pune, India, is a top choice for his:

  • Expertise in Delicate Spinal Cord Surgery: He has vast experience in performing intricate spinal cord procedures, and his meticulous technique is critical for a successful outcome.
  • Mastery of Microsurgery: The use of a high-power operating microscope is essential for de-tethering the spinal cord without causing damage to the delicate nerves.
  • Focus on Prevention of nerve deficits: His primary goal is to perform the surgery as soon as possible after diagnosis to prevent progressive and permanent neurological deficits.

Compassionate Care: He provides a comprehensive evaluation and compassionate guidance to patients and their families, who are often facing this diagnosis with a great deal of anxiety.

Frequently Asked Questions (FAQs) about Tethered Cord Syndrome

No. The condition is caused by a physical attachment and will not resolve on its own. In fact, it can worsen over time.

The goal of surgery is to prevent symptoms from getting worse and, in many cases, it can improve or resolve existing symptoms, especially pain and weakness. The degree of recovery depends on the extent and duration of the neurological damage before surgery.

 Yes, there is a small risk that scar tissue can form after the surgery and cause the spinal cord to re-tether. This is a rare occurrence but may require a second surgery if symptoms return.

Tethered Cord Syndrome is a treatable condition. With the right diagnosis and expert surgical intervention, it is possible to prevent permanent damage and regain a healthy, active life.