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.