SPINA BIFIDA-TETHERED CORD SYNDROME

SUMMARY

1. This is a universal problem in spina bifida, most common cause of deterioration in mobility.

2. Hence the question is not if you have tethering, is it causing problems?

3. Features: LMN symptoms, back pain, bladder dysfunction, calf muscle atrophy, sensory loss, progressive scoliosis, worsening foot deformity, deterioration in renal function.

4. No urgency for detethering so you can monitor progress over 6-12 months.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.