Microsurgical approach for resection of the filum terminale internum in tethered cord syndrome—a case demonstration of technical nuances and vignettes
Background In tethered cord syndrome due to filum terminale pathology, the surgical approach to achieve detethering of the spinal cord may vary. Traditionally, sectioning the filum through a laminectomy at the lumbosacral level is performed. Method A microsurgical technique at a higher level to appr...
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Published in | Acta neurochirurgica Vol. 165; no. 11; pp. 3505 - 3509 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Vienna
Springer Vienna
01.11.2023
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Background
In tethered cord syndrome due to filum terminale pathology, the surgical approach to achieve detethering of the spinal cord may vary. Traditionally, sectioning the filum through a laminectomy at the lumbosacral level is performed.
Method
A microsurgical technique at a higher level to approach the filum below the conus tip is performed. This allows for removal of the entire distal portion of the filum through a limited interlaminar approach and dural opening.
Conclusion
We propose a technique to transect the filum terminale below the conus tip and extract the distal filum by releasing it from its intradural attachments to minimize any remnants of the filum terminale. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0942-0940 0001-6268 0942-0940 |
DOI: | 10.1007/s00701-023-05568-9 |