Minimal invasive interlaminar approach for untethering of fatty filum terminale in pediatric patients - how I do it

Acta Neurochir (Wien). 2022 Jun;164(6):1481-1484. doi: 10.1007/s00701-022-05204-y. Epub 2022 Apr 22.

Abstract

Background: Fatty filum terminale is a form of spinal dysraphism and a third of all patients develop symptoms such as sensory, motor, and urinary impairment. Early surgery at 6 months has the advantage that the bone density is still soft, and the patients are not ambulatory yet, promoting faster healing.

Method: We present our minimal invasive surgical technique for FFT untethering.

Conclusion: Due to the low complication rate and the potentially high benefit of surgery, prophylactic untethering is recommended.

Keywords: Fatty filum terminale; Filum terminale; Spinal dysraphism; Tethered cord; Untethering.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cauda Equina* / diagnostic imaging
  • Cauda Equina* / surgery
  • Child
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Neural Tube Defects* / surgery
  • Spinal Dysraphism* / surgery