Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2022; 10(28): 10375-10383
Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10375
Thoracolumbar surgery for degenerative spine diseases complicated with tethered cord syndrome: A case report
Yue-Tian Wang, Guan-Zhang Mu, Hao-Lin Sun
Yue-Tian Wang, Guan-Zhang Mu, Hao-Lin Sun, Department of Orthopedics, Peking University First Hospital, Beijing 100034, China
Author contributions: Wang YT and Mu GZ reviewed the literature and contributed to manuscript drafting; Wang YT analyzed and interpreted the imaging findings; Sun HL was the patient’s spine surgeon and was responsible for the revision of the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for treatment and publication of this report.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hao-Lin Sun, MD, Associate Professor, Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Beijing 100034, China. sunhaolin@vip.163.com
Received: July 5, 2022
Peer-review started: July 5, 2022
First decision: July 14, 2022
Revised: July 21, 2022
Accepted: August 24, 2022
Article in press: August 24, 2022
Published online: October 6, 2022
Processing time: 84 Days and 1.6 Hours
Core Tip

Core Tip: Tethered cord syndrome (TCS) secondary to split cord malformation (SCM) is rare in adulthood. We present a patient who underwent thoracolumbar surgery for thoracic ossification of the ligamentum flavum and lumbar spondylolisthesis complicated with TCS. A thoracolumbar fusion surgery could be safe and effective with the tethered cord untreated. It is critical to design individualized surgical protocols to reduce the stretch of the low-lying spinal cord. A literature review of SCM in adults was also performed.