Zhankui Wang1, Xiyong Li1, Yuepeng Wang1, Wanjing Zhai1, Tianxi Tang1, Yunfeng Xu2
1Department of Graduate School, Graduate Student Department of Changzhi Medical College, Changzhi, China
2Department of Orthopaedics, Changzhi Yunfeng Hospital, Changzhi, China
Tethered cord syndrome (TCS) is common in young children and adolescents. The symptoms of adult patients are relatively hidden and the incidence is low. If clinicians lack of the awareness of it, it is easy to miss and misdiagnose. A male patient who found clubfoot deformity for 3 years and aggravated for 1 year was reported in this article,whose lower extremities were of equal length and both of feet showed clubfoot deformity and ankle were stiff, unable to dorsiflexion especially on the right side. Low spinal cord and longitudinal malformation at L3-4 level and intervertebral disc bulge and degeneration at L2-3 and L3-4 level and intervertebral disc bulge and degeneration and lumbar degenerative changes and thoracolumbar slightly posterior arch at L5-S1 level were showed in the MRI of the whole spine. After admission, tethered spinal cord release and L3-4-5 pedicle screw fixation were performed.
Tethered cord syndrome, Horseshoe foot, Treatment
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