International Journal of Frontiers in Medicine, 2022, 4(3); doi: 10.25236/IJFM.2022.040308.
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[1]. 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
Zhankui Wang, Xiyong Li, Yuepeng Wang, Wanjing Zhai, Tianxi Tang, Yunfeng Xu. Posterior transarticular V-shaped osteotomy of lumbar spine for the treatment of TCS: a case report and literature review. International Journal of Frontiers in Medicine (2022), Vol. 4, Issue 3: 50-54. https://doi.org/10.25236/IJFM.2022.040308.
[1] Zhong Lijuan, Kui Bengang. MRI findings of 10 cases of tethered cord syndrome [J]. Miscellaneous Journal of Applied Medical Imaging,2021,22(06):625-628.
[2] Yang Yongdong, Xu Lin, Yu Xing. Comparative analysis of clinical characteristics and surgical efficacy of tethered cord syndrome between adults and children [J]. Orthopedic journal of china, 2015,23(01):11-16.
[3] Yuan Shuai, Yuan Zhi, Zhao Zhiyong, Zhang Jinglong, Zhang he, Yin Hang. Experience in surgical treatment of 332 cases of complex tethered cord syndrome [C] /. Summary of the 15th Annual meeting of Neurosurgeons of Chinese Physicians Association. [publisher unknown], 2020:166167.
[4] Li Zhiyu, Lv Renrong, Xu Guangqi, Bi Jianhai, Huo Ran. A case report of tethered spinal cord misdiagnosed as hemangioma [J]. Chinese Journal of Aesthetic Plastic Surgery, 2020, 31(12): 752-753.
[5] Xu ran ran. MRI diagnosis and clinical analysis of 15 cases of tethered cord syndrome [J]. Imaging Research and Medical applications, 2020 Journal 4 (22): 237-239.
[6] Xu Ximing, Sun Mengchuan, Wang Yuan, Clinical analysis of spinal uniform shortening and axial decompression in the treatment of tethered cord syndrome with scoliosis [J]. Journal of the second military Medical University, 2020541 (03): 266271.
[7] Wang Jianzhou, Sang Deen, Zhao Hongzeng. MRI diagnosis and clinical analysis of 15 cases of tethered cord syndrome [J]. Journal of misdiagnosis in China, 2008 (13): 3238-3239.
[8] Cui Shujing. Analysis of clinical characteristics and treatment methods of tethered cord syndrome [J]. Miscellaneous Journal of Clinical Rational Drug Use, 2019,12(18):141-143.
[9] Zhao Yintao, Jiang Jian, Jin Wei, Liang Weibang. The effect of tethered cord release on adult tethered cord syndrome [J].Jiangsu Medicine,2015,41(22):2670-2672.
[10] Zhang Lin, Yin Yuhua Research progress in the treatment of tethered cord syndrome [J] Chinese Journal of clinical neurosurgery,2016,21(05):310-312.