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8/10/2019 Tethered Spinal Cord Syndrome
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Udtcdrde Zp`nbl Jmre Zynermid
www.de`tdmn.jmi
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Qcbt `s tdtcdrde jmre=Udtcdrde sp`nbl jmre synermid, mr tdtcdrde jmre, `s b jmne`t`mn `n wc`jcymur sp`nbl jmre kdjmids bttbjcde tm ymur sp`nd. Ucd imst jmiimn s`tdhmr bttbjcidnt, mr tdtcdr`na, `s `n tcd luikbr sp`nd.
Nmriblly, ymur sp`nbl jmre hlmbts `n b jusc`mn mh jdrdkrmsp`nbl hlu`e bttcd jdntrd mh ymur sp`nbl jmluin. Uc`s bllmws `t tm imvd hrddly bs ymu
kdne, strdtjc, bne imvd bne blsm prmtdjts `t hrmi strdss bs tcd kmnds mhymur sp`nbl jmluin jcbnad w`tc bad. Ucdrd brd ibny jmne`t`mns tcbt jbnjbusd mr brd bssmj`btde w`tc b tdtcdrde jmre `njlue`na?
Jc`br` iblhmribt`mns, wcdrd tcd krb`n dxtdnes `ntm tcd tmp mh tcd
sp`nbl jbnbl Zp`nb k`h`eb, mr strujturbl edhdjts mh tcd lmwdr sp`nbl jmre Urbuib mr `noury tm ymur lmwdr kbjf rdsult`na `n sp`nbl jmre `noury Zjbr t`ssud hrmi suradry Uuimrs mr jysts `n bne brmune ymur sp`nbl jmre
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Cmw jmiimn `s tdtcdrde jmre bne wcbt brd tcd r`sfhbjtmrs=Udtcdrde jmre jbn cbppdn `n kmtc jc`lerdn bne beults. Bpprmx`ibtdly ; mhdvdry 2,777 pdmpld brd kmrn w`tc b tdtcdrde jmre, kut bs idnt`mnde bkmvd,smidt`ids tdtcdrde jmre edvdlmps bs b rdsult mh nmn-jmnadn`tbl hbjtmrs l`fdsjbr t`ssud mr tcd armwtc mh tuimrs mr jysts `n ymur sp`nbl jmre.
Qcbt brd tcd syiptmis mh tdtcdrde jmre=Ucd syiptmis mh tdtcdrde jmre jbn vbry w`edly. @n bee`t`mn, syiptmis `njc`lerdn brd mhtdn e`hhdrdnt tcbn tcmsd tcbt bppdbr `n beults. Zyiptmis `njc`lerdn jbn `njlued?
lds`mns, hbtty tuimrs, cb`r armwtc, e`iplds, mr sf`n e`sjmlmrbt`mn mn tcdlmwdr kbjf
pb`n `n tcd ldas mr lmwdr kbjf e`hh`julty wblf`na kdewdtt`na mr ur`nbry bjj`ednts edhmri`t`ds `n tcd ldas bne hddt
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Zyiptmis brd edtdjtbkld ky tcd bad mh hmur `n 17% mh jc`lerdn. Pmurjc`les syiptmis w`ll blimst blwbys wmrsdn bs tcdy armw, bne smidndurmlma`jbl edh`j`ts iby nmt kd rdvdrs`kld.
@n beults, tcdsd syiptmis brd s`i`lbr kut iby kd imrd sdvdrd eud tmarmwtc putt`na imrd tdns`mn mn tcd sp`nbl jmre mvdr t`id.
Cmw `s tdtcdrde jmre e`banmsde=
@h tdtcdrde jmre `s suspdjtde, ibandt`j rdsmnbnjd `iba`na (I[@) w`ll kdusde tm v`dw ymur lmwdr sp`nbl jmre bne vdr`hy tcbt `t `s bttbjcde tm tcdsurrmune`na strujturds.
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Qcbt brd tcd trdbtidnts hmr tdtcdrde jmre=@h ymur tdtcdrde jmre `s jbus`na mnly i`le syiptmis mr nm syiptmis bt bll, ymuremjtmr iby rdjmiidne mksdrvbt`mn mvdr suradry. Cmwdvdr, suradry iby kd`ne`jbtde w`tc dvdn i`le syiptmis, bs ndurmlma`jbl hunjt`mn tcbt cbs kddn lmstiby nmt rdturn dvdn bhtdr suradry tm hrdd ymur tdtcdrde jmre.
Hmr sdvdrd jbsds, tcd mnly jcbnjd hmr syiptmi rdl`dh `s tcrmuac suradry. Uc`s`nvmlvds mpdn`na tcd lmwdr kbjf tm dxpmsd tcd bknmribl`ty tcbt `s p`nn`na mrbttbjc`na tcd sp`nbl jmre tm `ts surrmune`na strujturds. Ndurmsuradmns typ`jbllyedtbjc ymur sp`nbl jmre hrmi `ts surrmune`na strujturds us`na edl`jbtd sura`jbltdjcn`quds, mhtdn wmrf`na unedr b pmwdrhul i`jrmsjmpd.
@n jbsds wcdrd tcd sp`nbl jmre kdjmids tdtcdrde bab`n bhtdr ymur `n`t`bl suradry,tcd suradry tm jbn kd rdpdbtde. Bltdrnbt`vdly, b suradry jbn kd pdrhmride tmrdimvd b vdrtdkrb hrmi ymur sp`nd. Uc`s scmrtdns ymur sp`nd bne jbn e`i`n`sctcd tdns`mn mn ymur strdtjcde sp`nbl jmre bne prmv`ed syiptmi rdl`dh. Uc`s
prmjdeurd `s typ`jblly rdsdrvde hmr pbt`dnts w`tc iult`pld suradr`ds `n tcd pbsthmr tdtcdrde jmre synermid.
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Qcbt `s tcd prmanms`s hmr tdtcdrde jmre=
Zuradry tm rdldbsd b tdtcdrde jmre jbn stmp ymur syiptmis hrmi adtt`nawmrsd bne iby rdl`dvd pb`n bne mtcdr syiptmis tcbt brd nmt purdlyndurmlma`jbl. Cmwdvdr, bny syiptmis l`fd lda wdbfndss bne nuikndsstcbt rdsult hrmi ndrvd ebibad brd l`fdly `rrdvdrs`kld. [dpdbt tdtcdr`namh tcd sp`nbl jmre iby mjjur `n smid pbt`dnts, bne mhtdn tcd rdturn mhsyiptmis `s b s`an mh rdpdbt tdtcdr`na. Bs idnt`mnde bkmvd, bltdrnbt`vdsuradr`ds jmule kd jmns`edrde `n tcdsd j`rjuistbnjds.
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