Outcome of Tethered Cord Syndrome With a Normally Positioned Conus in Children

This page was last updated on May 9th, 2017

Most patients will have improvement or stabilization of preoperative symptoms. Twelve of the authors’ 13 patients underwent surgery. The average follow-up at that time was 2.2 years. Three patients presented neurologically normal. The follow-up publication on TCS and the normally positioned conus compared this subgroup to patients with TCS and a low-lying conus medullaris, which consisted of 60 patients (36).

  • Strength: 75%t of patients with lower extremity weakness improved with surgery (36).
  • Urinary and bowel function: For urinary complaints, two patients had normal urinary control at follow-up, one patient had improved control, and one patient with neurogenic bladder had no postoperative change. Of patients presenting with bowel complaints, all three had cessation of complaints at follow-up (36).
  • Pain: Two patients presented with back pain that resolved after surgery. The one patient who did not undergo surgery presented with low back pain and radicular leg pain that was improved 6 months later (36).