The list of treatments mentioned in various sources for Tethered Spinal Cord Syndrome includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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Spina bifida occulta usually requires no treatment. Treatment of meningocele consists of surgical closure of the protruding sac and continual assessment of growth and development.
Treatment of myelomeningocele requires repair of the sac and supportive measures to promote independence and prevent further complications. Surgery doesn’t reverse neurologic deficits. A shunt may be needed to relieve associated hydrocephalus.
If the patient has a severe spinal defect, short- and long-term treatment will require a team approach, including a neurosurgeon, orthopedist, urologist, nurse, social worker, occupational and physical therapists, and parents.
In children or adults, rehabilitation measures may include:
❑ waist supports, long leg braces, walkers, crutches, and other ortho-pedic appliances
❑ diet and bowel training to manage fecal incontinence
❑ neurogenic bladder management to reduce urinary stasis, possibly intermittent catheterization, and antispasmodics, such as bethanechol or propantheline. In severe cases, insertion of an artificial urinary sphincter is often sucsuccessful; a urinary diversion is used as a last resort to preserve kidney function.
Source: Handbook of Diseases, 2003
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