Pediatric tethered cord syndrome: response of scoliosis to untethering procedures

Abstract

In this experience with pediatric TCS-associated scoliosis, patients with Risser Grades 3-5 and Cobb angles < 40 degrees did not experience curve progression after tethered cord release. Patients with Risser Grades 0-2 and Cobb angles > 40 degrees were at greatest risk of curve progression after cord untethering. Pediatric patients with TCS-associated scoliosis should be monitored closely for curve progression using standing radiographs after spinal cord untethering, particularly those with curves > 40 degrees or who have Risser Grades 0-2.