Surgery for spina bifida occulta: spinal lipoma and tethered spinal cord.

التفاصيل البيبلوغرافية
العنوان:	Surgery for spina bifida occulta: spinal lipoma and tethered spinal cord.
المؤلفون:	Morota N; Department of Neurosurgery, Kitasato Universicy Hospital, 1-15-1 Kitasato, Minami-Ku, Sagamihara, 252-0375, Japan. nobu.m01@gmail.com., Sakamoto H; Department of Pediatric Neurosurgery, Osaka City General Hospital, 2-13-22 Miyakojima-Hondori, Miyakojima-Ku, Osaka, 534-0021, Japan.; Department of Neurosurgery, Osaka Metropolitan University Graduate School of Medicine, 1-4-3 Asahi-Machi, Abeno-Ku, Osaka, 545-8585, Japan.
المصدر:	Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2023 Oct; Vol. 39 (10), pp. 2847-2864. Date of Electronic Publication: 2023 Jul 08.
نوع المنشور:	Journal Article; Review
اللغة:	English
بيانات الدورية:	Publisher: Springer International Country of Publication: Germany NLM ID: 8503227 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-0350 (Electronic) Linking ISSN: 02567040 NLM ISO Abbreviation: Childs Nerv Syst Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Berlin : Springer International, c1985-
مواضيع طبية MeSH:	Spina Bifida Occulta/complications , Spina Bifida Occulta/diagnostic imaging , Spina Bifida Occulta/surgery , Lipoma/diagnostic imaging , Lipoma/surgery , Lipoma/complications , Spinal Cord Neoplasms/diagnostic imaging , Spinal Cord Neoplasms/surgery, Humans ; Neurosurgical Procedures/methods ; Radiography ; Spinal Cord/surgery
مستخلص:	The technical evolution of the surgery for spina bifida occulta (SBO) over the course of a half-century was reviewed with special foci placed on the spinal lipoma and tethered spinal cord. Looking back through history, SBO had been included in spina bifida (SB). Since the first surgery for spinal lipoma in the mid-nineteenth century, SBO has come to be recognized as an independent pathology in the early twentieth century. A half-century ago, the only option available for SB diagnosis was the plain X-ray, and pioneers of the time persevered in the field of surgery. The classification of spinal lipoma was first described in the early 1970s, and the concept of tethered spinal cord (TSC) was proposed in 1976. Surgical management of spinal lipoma with partial resection was the most widely practiced approach and was indicated only for symptomatic patients. After understanding TSC and tethered cord syndrome (TCS), more aggressive approaches became preferred. A PubMed search suggested that there was a dramatic increase of publications on the topic beginning around 1980. There have been immense academic achievements and technical evolutions since then. From the authors' viewpoint, landmark achievements in this field are listed as follows: (1) establishment of the concept of TSC and the understanding of TCS; (2) unraveling the process of secondary and junctional neurulation; (3) introduction of modern intraoperative neurophysiological mapping and monitoring (IONM) for surgery of spinal lipomas, especially the introduction of bulbocavernosus reflex (BCR) monitoring; (4) introduction of radical resection as a surgical technique; and (5) proposal of a new classification system of spinal lipomas based on embryonic stage. Understanding the embryonic background seems critical because different embryonic stages bring different clinical features and of course different spinal lipomas. Surgical indications and selection of surgical technique should be judged based on the background embryonic stage of the spinal lipoma. As time flows forward, technology continues to advance. Further accumulation of clinical experience and research will open the new horizon in the management of spinal lipomas and other SBO in the next half-century. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة:	Keywords: Bulbocavernosus reflex; Intraoperative neurophysiology; Junctional neurulation; Secondary neurulation; Spina bifida occulta; Spinal lipoma; Surgery; Tethered cord syndrome; Tethered spinal cord
تواريخ الأحداث:	Date Created: 20230708 Date Completed: 20231030 Latest Revision: 20231107
رمز التحديث:	20231108
DOI:	10.1007/s00381-023-06024-w
PMID:	37421423
قاعدة البيانات:	MEDLINE

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تدمد:	1433-0350
DOI:	10.1007/s00381-023-06024-w