Introduction of a urodynamic score to detect pre- and postoperative neurological deficits in children with a primary tethered cord.

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Serval ID
serval:BIB_698F6BC2C98C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Introduction of a urodynamic score to detect pre- and postoperative neurological deficits in children with a primary tethered cord.
Journal
Child's Nervous System
Author(s)
Meyrat B.J., Tercier S., Lutz N., Rilliet B., Forcada-Guex M., Vernet O.
ISSN
0256-7040 (Print)
ISSN-L
0256-7040
Publication state
Published
Issued date
11/2003
Volume
19
Number
10-11
Pages
716-721
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Abstract
OBJECT: An increasing number of asymptomatic children are diagnosed with occult spinal dysraphism, raising the question of their optimal management. Urodynamic study (UDS) is the most reliable method of detecting neuro-urological abnormalities in these children. The rate of postoperative retethering ranges from 10 to 20% and is not always immediately clinically significant. The aim of this prospective study was to develop a reliable method that could be used in the preoperative assessment and postoperative follow-up of children with a tethered cord syndrome (TCS).
METHODS: From 1989 to 1997, 15 children underwent spinal cord untethering for TCS. Preoperatively, patients were assessed with MRI and UDS. Postoperative UDS were repeated at 6- to 12-month intervals. Four UDS parameters were identified, graded, and added to obtain a UDS score. A group of 38 children without dysraphic condition was used as control and allowed the calculation of a normal score.
CONCLUSIONS: There was a statistically significant difference in the preoperative UDS scores between the control group and the study group ( p<0.001). Postoperatively, there was a statistically significant improvement ( p<0.001) in UDS scores. UDS score is a reliable tool for identifying and quantifying neuro-urological disorders in patients with TCS. Postoperatively, this score was useful in the early diagnosis of spinal cord retethering.
Keywords
Adolescent, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Male, Neural Tube Defects/diagnosis, Neural Tube Defects/surgery, Neurologic Examination, Postoperative Complications/physiopathology, Postoperative Period, Reproducibility of Results, Spinal Cord/physiopathology, Spinal Cord/surgery, Time Factors, Treatment Outcome, Urinary Bladder/physiopathology, Urinary Incontinence/physiopathology, Urodynamics, Weights and Measures
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 14:13
Last modification date
01/10/2019 7:18
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