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  • Title: Microsurgical approach for resection of the filum terminale internum in tethered cord syndrome-a case demonstration of technical nuances and vignettes.
    Author: Abdulrazeq H, Shao B, Sastry RA, Klinge PM.
    Journal: Acta Neurochir (Wien); 2023 Nov; 165(11):3505-3509. PubMed ID: 37017726.
    Abstract:
    BACKGROUND: In tethered cord syndrome due to filum terminale pathology, the surgical approach to achieve detethering of the spinal cord may vary. Traditionally, sectioning the filum through a laminectomy at the lumbosacral level is performed. METHOD: A microsurgical technique at a higher level to approach the filum below the conus tip is performed. This allows for removal of the entire distal portion of the filum through a limited interlaminar approach and dural opening. CONCLUSION: We propose a technique to transect the filum terminale below the conus tip and extract the distal filum by releasing it from its intradural attachments to minimize any remnants of the filum terminale.
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