Small incision surgical treatment for children with tight filum terminale type of tethered cord syndrome
10.11659/jjssx.05E017043
- VernacularTitle:小切口微创在儿童脊髓拴系综合征栓系松解中的应用
- Author:
Le-Kai WANG
1
;
Ben-Zhang TAO
;
Chang-Hao YANG
;
Zhong CHEN
;
Ai-Jia SHANG
Author Information
1. 解放军总医院神经外科
- Keywords:
tethered cord syndrome;
microsurgical operation;
efficacy;
complications;
small insicion;
minimally invasive
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(1):56-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and complications of small insicion surgical treatment and the routine microscopic surgical treatment for children with tight filum terminale type of tethered cord syndrome.Methods According to the clinical manifestations and imaging findings,a total of 43 children with tethered cord syndrome were classified into two groups.Namely the control group (30 cases) who underwent the routine microscopic surgery and the observation group (13 cases) who underwent the small insicion surgical treatment.The difference including prognosis,complications,hospital stays,size of the wound between the two groups were analyzed.Results The 43 children were followed up for 3 to 24 months with an average of 9 months.The results indicated that the postoperative effective rate of the control group was 93.3％,while it was 100％ in the observation group.The difference between the two groups was not statistically significant(P ＞ 0.05).The rate of complications of the control group was 6.67％ whlie it was 0.00％ in the observation group,and the difference of the two groups was statistically significant(P ＜ 0.05).The difference of hospital stays and the size of the wound between the two groups were statistically significant (P ＜ 0.05).Conclusion The small insicion surgical treatment could guarantee the surgical effect for children with tight filum terminale type of tethered cord syndrome,and it can reduce the surgical trauma,post operation hospitalization duration,incidence of complications and intraoperative scar tissues.
