The best treatment option for tethered cord is surgery to detether or release the tension on the cord. Tethered cord is a experimental stretching of the filum terminale and physiopathological condition of relatively decreased blood lengthening of the lumbar vertebral canal during forward supply of the conus medullaris in particular, which in turn bending are well-known issues. This tension can cause your spinal cord to stretch and may damage it and restrict blood flow to your spinal nerves. Radiculopathy is the term used to describe pinching of the nerve roots as they exit the spinal cord or cross the intervertebral disc, rather than the compression of the cord itself (myelopathy). Many people with open spina bifida have tethered spinal cords. Learn how we can help. A therapist can help you adjust and provide SCI exercises for your level of mobility. In children with TSCS, early surgery is usually recommended to prevent further neurological deterioration. The tonsillar ectopia is probably related to a relative shortened and tethered spinal cord. Complications include infection, bleeding, and damage to the spinal cord or myelomeningocele, which may result in decreased muscle strength or bladder or bowel function. Doctors typically provide answers within 24 hours. When a spinal cord injury disrupts the transmission of signals between the brain and body, completing spinal cord injury exercises can often help restore this communication. Phone: 202-944-3285 or 800-621-3141, Form Approved OMB# 0925-0648 Exp. While every spinal cord injury has different functional outcomes, most spinal cord injury survivors can practice passive range of motion exercises. The surgery is done by placing screws and rods into the spine to hold it in place while the spine fusion heals. When the spinal cord is compressed or injured, it may cause a loss of sensation, loss of function, and pain or discomfort in the area at or below the compression point. The combined complication rate of this surgery is usually 1-2%. Thoracic myelopathy occurs in the middle region of the spine. PDF SPINAL CORD INJURY GUIDELINES 2020 - College of Medicine