Neurosurgeon Nicholas Theodore recaps his presentation on vertebral column shortening for tethered cord syndrome that he gave at the 2022 Congress of Neurological Surgeons. He shared a novel approach — removal of a vertebral body — which offers patients an alternative to treat this vexing problem.
Hello, this is Dr Nicholas Theodore professor of neurosurgery at johns Hopkins University. Here to talk to you briefly about a presentation I gave at the Congress of neurological surgeons regarding vertebral column shortening for tethered cord syndrome. As we know, tethered cord syndrome as a failure of the spinal cord to ascend and often is associated with lipo myeloma legacy and other disorders. The problem is these patients get older especially those that have been operated on multiple. E is that we don't really have a great treatment option other than re doing a prior detail during operation. Something that we published recently and that we talked about at the meeting was the ability to try something different and that's something different is removal of the vertebral body usually T. 12 and shortening the entire spinal column. By doing that we take tension away from the spinal cord and ultimately hopefully treat definitively the patient's problem. So this is a work in evolution. And while we had a very interesting debate at the meeting, the reality is that this is going to be a treatment paradigm that offers our patients a different way to treat a problem which is vexing to neurosurgeons and patients alike, hopefully improving outcomes as we go along