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Follow-up for Sina Bifida Occulta and Tethered Cord Syndrome in Children

Frequency of Office Visits

  • Initial postoperative visit: The child is typically seen at 2 weeks for a wound check. Activity is then liberalized.
  • Subsequent visits: The child is seen again at 3 and 6 months postoperatively. Signs and symptoms of retethering are discussed with the family at each visit. The child is then released to follow-up as needed.

Frequency of Imaging

  • Not routine: The authors feel that postoperative imaging is necessary only if signs or symptoms of retethering are suspected.

Other Investigations Required

  • Urological assessment: Postoperative urodynamic monitoring may be useful if the patient is too young to report improvement or if improvement of urological symptoms is not seen clinically.