Tethered cord associated with anorectal malformation.

Abstract:

:Ten children with a tethered cord and also an anorectal malformation are reported in this document. The anorectal malformations comprised 5 vesicointestinal fissures, 2 cloacal exstrophies, 2 rectovesical fistulas and 1 rectobulbar fistula. All of the patients underwent colostomy in advance of surgery for untethering of the spinal cord. Although their neurologic deficits had previously been considered static, they were subjected to radiographic examination of the caudal spine and found to have a tethered cord. These 10 children were among 55 children with a tethered cord surgically treated at the Division of Neurosurgery of the Osaka Medical Center and Research Institute for Maternal and Child Health during the last 11 years. Data were obtained for these 10 children (6 boys and 4 girls, mean age 1.7 years) who underwent surgical untethering. Several hypotheses are offered to explain this association. Anorectal malformations are related to underlying spinal cord anomalies, which may be amenable to neurosurgical correction. Eight of our patients had no skin stigma of the lumbosacral region, in contrast to an ordinary tethered cord. Spinal cord imaging is necessary to closely scrutinize these children.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Morimoto K,Takemoto O,Wakayama A

doi

10.1159/000068048

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

79-82

issue

2

eissn

1016-2291

issn

1423-0305

pii

68048

journal_volume

38

pub_type

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