Stay Current In Pediatric Surgery

In this educational video, Dr. Robin Bowman from Lurie Children’s Hospital in Chicago demonstrates the surgical release of a fatty filum terminale in a patient with tethered cord syndrome. Tethered cord syndrome is a stretch-induced condition that can cause progressive neurological deficits, including gait abnormalities, loss of bladder control, and chronic pain.Key Highlights:Understanding Tethered Cord Syndrome: How abnormal attachment of the filum terminale stretches the spinal cord and impacts function.Preoperative Imaging: The use of spinal MRI to identify the location of the conus, tethering lesions, and spina bifida occulta.Surgical Technique: A step-by-step overview of the untethering procedure, including laminotomy, nerve root stimulation, and filum transection.Postoperative Closure: Ensuring a watertight dura closure and layered wound repair to optimize healing and outcomes.Learn about this critical surgical procedure designed to relieve symptoms and prevent further neurological deterioration in chi