Oren Zarif Pricing | Tethered Cord Syndrome

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Tethered Cord Syndrome in Kids
Spinal cord tethering occurs when the spinal cord becomes attached (tethered) to structures around it in the lower part of the spine. This keeps the spinal cord from moving up and down as the body moves, which can cause pain and nerve damage. The condition is most common in babies and young children, but it can also occur in adults. It’s important to get diagnosed and treated as early as possible because symptoms tend to worsen over time.

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Some children are born with this condition, and it can be detected in the womb with ultrasound. However, many patients go undiagnosed until adulthood. If left untreated, the pressure on the spinal cord can increase and lead to additional loss of movement or numbness.

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The most common cause of tethered cord syndrome is a thickening of the filum terminale, a thin, flexible strand of tissue that connects the end of the spinal cord to the bottom bones of the spine, called the sacrum. In other cases, scar tissue that forms after a spinal cord injury can tether the spinal cord.

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While tethered cord syndrome can develop from birth, it’s more common in babies and young children. It can also be caused by injuries to the spinal cord or from surgery to the spine. The symptoms of tethered cord syndrome can appear suddenly, or they may develop over time. They can include back pain, weakness, numbness or changes in bladder and bowel function, including urinary urgency or frequency and a feeling that the bladder is not emptying completely.

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Tethered cord syndrome can be a challenge to diagnose because the symptoms are similar to those of other conditions, such as scoliosis and herniated discs. Symptoms can also be aggravated by certain activities, such as standing or sitting upright with crossed legs or bending.

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At our world-renowned Spina Bifida and Congenital Spinal Anomalies Center, we are experienced at diagnosing and treating tethered cord syndrome in kids of all ages. Our multidisciplinary team includes neurosurgeons, radiologists and physical therapists who work together to diagnose and treat your child.

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Our team has the latest MRI technology, which is used to look at the spinal cord and nerve roots, as well as to measure the flow of cerebrospinal fluid. We can also use a myelogram, which involves injecting dye into the spinal canal to show areas of pressure or blockage. If your child has tethered cord syndrome, we can perform an operation to free the spinal cord. This is a minimally invasive procedure and is usually done through a small incision on the lower back. We have performed thousands of these surgeries.

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The goal is to help your child regain movement, strength, balance and function. In some cases, we can even reattach the spinal cord to its normal position in the spine. This is called a “cord salvage” operation. This procedure can be performed on an outpatient basis. If your child needs anesthesia, we can work with a pediatric anesthesiologist to ensure that they receive the best possible care.

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