• Liang Jiao, Xiao Yang, Shuang Wang, Jun-Xiong Ma, Liang Zheng, Hong Wang, Hai-Long Yu, and Yu Chen.
• Department of Orthopedics, General Hospital of Northern Theater Command, Shenhe District, Shenyang, China.
• Medicine (Baltimore). 2023 Apr 25; 102 (17): e33600e33600.

RationaleTethered cord syndrome (TCS) represents a spectrum of neurological symptoms that are caused by constant or intermittent axial traction of the terminal cone of the spinal cord due to abnormal positioning. It is uncommon for abnormal structures of TCS to be accompanied by split cord malformation, thoracic spinal stenosis, and other spinal cord diseases.Patient ConcernsA 45-year-old male patient visited our hospital due to severe lower back pain, extensive left lower limb muscle weakness, and intermittent claudication.DiagnosesTCS combined with stenosis of the thoracic canal, split cord malformation, and kyphosis deformity.InterventionsThe patient underwent Dekyphosis operation combined with limited osteotomy symptoms.OutcomesThe patient felt the right lower limb improved after surgery. At 4-month follow-up, a radiological examination showed adequate decompression of the spinal cord and a good internal fixation position. Overall, the patient's clinical symptoms significantly improved.ConclusionThis is a rare case of TCS combined with thoracic disc herniation and bony mediastinum. A more conservative invasive surgical approach was elected and markedly improved the patient's symptoms. Additional clinical cases are needed to confirm the stability and feasibility of this surgical approach.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

18 keywords...

hide…