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- W2373090375 abstract "Objective To evaluate the early results of ultrasonic emulsification and aspirating for lipomatous tethered cord syndrome (TCS).Methods Thirty eight patients who were identified as lipomatous TCS were divided into two groups. The routine group consisted of 20 patients who underwent routine procedure including excision of lipoma and transection of filum teminale. The modified group was composed of 18 patients who underwent the modified procedure. In that technique, the lipoma was resected using microsurgical technique and tumors were absorbed by ultrasonic emulsification and aspirating. A silica gel catheter was put in the epidural space in the modified procedure. And clinical outcomes were evaluated in all patients based on Hoffman's functional grading criteria.Results All patients were followed up for 3 months. In the routine group, 4 patients had temporary cerebrospinal fluid (CSF) leakage and another 4 children had wound infection. Out of these 20 patients, clinical function was improved in 3 patients, remained in 15 cases, and deteriorated in 2 patients. In the modified group, there was no CSF leakage while only one patient had incomplete wound healing. The clinical function was improved in 4 children and maintained in 14 patients in this group.Conclusions The application of microsurgical technique and ultrasonic emulsification can reduce the operative complications and maintain the preoperative neurological function." @default.
- W2373090375 created "2016-06-24" @default.
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- W2373090375 date "2004-01-01" @default.
- W2373090375 modified "2023-09-25" @default.
- W2373090375 title "Modified surgical treatment for tethered cord syndrome with lipoma" @default.
- W2373090375 hasPublicationYear "2004" @default.
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