Tethered cord syndrome in low motor level children with myelomeningocele

The clinical presentation of tethered spinal cord and the results of tethered cord release were examined in a group of 30 low motor level (L3 and below) children with a history of myelomeningocele without concomitant central nervous system (CNS) complications. Changes in orthopedic and/or neurologic status formed the basis for consideration for tethered cord release. Tethered cord release in symptomatic low lumbar and sacral level children with myelomeningocele appears to be of benefit, especially with respect to stabilization of scoliosis in selected patients, back pain resolution at the site of closure, and stabilization of prior decline of motor function. Results in cases with spasticity were more equivocal.