On The Horizon for Spina Bifida Occulta and Tethered Cord Syndrome in Children

  • Minimally invasive surgery: With tethered cord presenting clinically and often repaired at a young age, minimally invasive techniques are of particular interest. Recently, it was demonstrated that tethered cords may be safely and effectively untethered with minimally invasive surgery (11).
  • Carbon dioxide laser detethering: Carbon dioxide lasers contain many features that make them amendable to neurosurgical procedures. Carbon dioxide laser dissection is beneficial due to the complete absorption of CO2 by water. Therefore, the CO2 does not penetrate the tissue, reducing collateral damage to neural structures. The unique physical properties, minimal depth of penetration, and lack of collateral tissue damage make this a particularly useful tool in the release of a tethered cord.