Tethered Spinal Cord Surgery

Tethered spinal cord syndrome occurs when the spinal cord is abnormally attached to surrounding tissues, restricting its movement. This abnormal tension can stretch the spinal cord as a child grows or as the spine moves, leading to neurological symptoms and potential long-term damage. Tethered cord may be present from birth due to congenital abnormalities, or it may develop later in life from scar tissue after surgery, spinal injury, or other spinal conditions.

When Surgery Is Recommended

Symptoms of tethered spinal cord can vary but often include:

 

  • Chronic back or leg pain

  • Weakness in the legs or changes in gait

  • Numbness or tingling in the lower body

  • Problems with bladder or bowel function

Surgery is generally recommended when these symptoms are progressive or when imaging confirms significant spinal cord tethering that places the patient at risk for further neurological decline.

How the Procedure Works

Tethered spinal cord surgery involves carefully releasing the spinal cord from the abnormal attachments that restrict its movement. This delicate procedure is performed by neurosurgical specialists and aims to reduce nerve compression, restore flexibility, and prevent ongoing injury to the spinal cord. Early surgical intervention is important because it can prevent permanent deficits and protect neurological function. In children, timely surgery may also help support normal growth and development.

Diagnostic Evaluation

At Covenant Spine and Neurology, patients undergo comprehensive evaluations that may include MRI scans, neurological testing, and review of medical history to confirm the diagnosis. Our team then works in close collaboration with neurosurgeons to develop an individualized treatment plan.

Benefits of Tethered Spinal Cord Surgery

Surgical release of the tethered spinal cord can help:

 

  • Relieve back and leg pain

  • Improve strength and mobility

  • Restore bladder and bowel function in some patients

  • Prevent worsening neurological damage over time

Ongoing Care and Support

Recovery from tethered spinal cord surgery requires close monitoring and follow-up care. At Covenant Spine and Neurology, we coordinate with surgical partners to ensure patients receive post-operative support, rehabilitation if needed, and long-term neurological care.

Next Steps

If you or your child has been diagnosed with tethered spinal cord syndrome, early evaluation and treatment are essential. Contact Covenant Spine and Neurology to learn more about whether tethered spinal cord surgery may be the right step toward relief and improved function or click here to find one of our locations near you.

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For more information or to schedule an appointment call us at 336-761-4020.

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