Fatty Filum Terminale Tethered Cord Release by Dr. Robin Bowman - Lurie Children's

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Episode notes

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 stimula ... 
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Keywords
pediatric surgerymripediatricsome4pedsurgfattyfilumterminaletethered cordtethered cord syndromestretch-inducedprogressiveneurological deficitsgait abnormalitiesbladder controlchronic painspinal cordspinal MRIconus lesionsspina bifida occultalaminotomynerve root stimulationfilum transectiondura closureneurological deterioration