Incidental Finding of a Simple Dysraphic State of a Closed Spinal Dysraphism and Tethered Cord in an Adult Patient with Low Back Pain: A casereport

Authors

Lin-Chien Lee
Hung-Fu Lee
Fu-Kong Lieu

Translated Title

因急性下背痛意外發現成人之隱性脊柱裂及脊髓牽扯：病例報告

Abstract

The recognition of a closed spinal dysraphism without a subcutaneous mass and cutaneous stigmata depends on the development of relevant neurological and urological symptoms and signs. It can also be an incidental finding when symptoms that do not originate from it are investigated. We describe a 39-year-old man who presented with spondylolysis-related low back pain. Plain film showed posterior spina bifida of S1 and magnetic resonance imaging of the L-spine revealed one intradural lipoma at the L5 level and cord tethering. Conservative treatment was suggested because no relevant symptoms or signs of a mass effect of the lipoma or tethered cord syndrome were observed. Surgery should be considered only in patients with neurological dysfunction of the lower limbs or urological deficits. We emphasize the role of patient education when monitoring the symptoms and signs of patients with tethered cord in order to prevent permanent neurological deficits.

Language

English

DOI Link

https://doi.org/10.6315/2013.41(3)06

First Page

195

Last Page

199

Recommended Citation

Lee, Lin-Chien; Lee, Hung-Fu; and Lieu, Fu-Kong (2013) "Incidental Finding of a Simple Dysraphic State of a Closed Spinal Dysraphism and Tethered Cord in an Adult Patient with Low Back Pain: A casereport," Rehabilitation Practice and Science: Vol. 41: Iss. 3, Article 6.
DOI: https://doi.org/10.6315/2013.41(3)06
Available at: https://rps.researchcommons.org/journal/vol41/iss3/6