Tethered Cord Syndrome

Tethered cord syndrome is a rare neurological condition in which the spinal cord is attached (tethered) to the surrounding tissues of the spine. This prevents the spinal cord from moving to keep up with the lengthening of the spine as it grows.  It can cause back pain, numbness in the legs or feet, deformities such as hammertoes, feet turning in or out, incontinence, chronic constipation, frequent urinary tract infections.

Generally, it is presented in children and late adolescence. There may be lesions on the lower back like  fatty tumor or deep dimple on the lower back, or skin discoloration on the lower back or hairy patch on the lower back.

Surgery is the main treatment for a tethered cord. In this procedure, the spinal cord is released from the surrounding spine so that it can move freely. If treated early, any damage resulting from the tethered cord can often be improved.

Scamatic Representation
MRI showing Low lying spinal cord