Tethered Spinal Cord Syndrome is a neurological disorder caused by abnormal attachment of the spinal cord within the spinal canal, limiting its movement. Over time, this tension can lead to nerve damage, pain, and motor or sensory impairments. Dr. Salim specializes in early diagnosis and advanced microsurgical treatment for this condition.
What Is Tethered Spinal Cord Syndrome?
Tethered Spinal Cord Syndrome (TCS) occurs when the spinal cord is abnormally fixed or anchored, usually at the base of the spine. This restriction causes excessive stretching of the spinal cord, especially during growth or movement.
It is commonly associated with:
- Spina bifida (especially myelomeningocele)
- Lipomas or fatty masses
- Thickened filum terminale
- Spinal trauma or scarring from previous surgeries
Key Symptoms of Tethered Cord
Symptoms may vary by age:
In Children:
- Walking difficulties or abnormal gait
- Leg weakness or stiffness
- Back pain, especially during activity
- Foot deformities (e.g., high arches or flat feet)
- Urinary or bowel control issues
In Adults:
- Chronic lower back pain
- Numbness or tingling in legs
- Progressive leg weakness or sensory changes
- Incontinence or urinary urgency
Symptoms often worsen over time if untreated.
How Is It Diagnosed?
Diagnosis is typically based on clinical signs and imaging:
- MRI scan is the gold standard to visualize spinal cord position and attachments
- Neurological exams assess motor and sensory function
- Urodynamic studies may be used if bladder dysfunction is suspected
Early diagnosis is critical to prevent permanent nerve damage.
Treatment Options
The definitive treatment is surgical release of the tethered cord to reduce tension and prevent neurological decline.
- Microsurgical detethering is performed to free the spinal cord from adhesions
- The procedure is typically performed under a microscope with neuro-monitoring
- In some cases, re-tethering can occur, requiring re-intervention
Non-surgical management is limited and typically reserved for asymptomatic or very mild cases.
Recovery and Outlook
- Hospital stay usually ranges from 3–5 days
- Most patients return to school or work within a few weeks
- Physical therapy may be recommended
- Long-term outcome depends on how early the surgery is done and the extent of nerve involvement
With expert care, symptoms such as pain and weakness often improve or stabilize post-surgery.
Dr. Salim’s Surgical Expertise
Dr. Salim is experienced in handling complex tethered cord cases in both children and adults. He employs advanced neuromonitoring and minimally invasive techniques where possible to reduce risk and enhance outcomes. His team also offers full post-op support for international and local patients.
NEED GUIDANCE?
Everything You Need to Know Before Starting Treatment
From scheduling your consultation to preparing for recovery, here are answers to the most common questions we receive from patients—both local and international.
Appointments can be booked directly through our online form or by contacting our clinic via phone or WhatsApp. Our team will guide you step-by-step.
Your initial consultation includes a full evaluation of your symptoms, medical imaging (if available), and a discussion of potential treatment paths, tailored to your unique case.
We help with accommodation, airport pickup, translation, and aftercare for patients coming from abroad.
Patient-Centered, Outcome-Driven
What You Can Expect With Us
When it comes to spinal and neurological care, we understand that clarity, trust, and results matter. That’s why every treatment we offer is designed around one goal, to restore your quality of life through the safest, most effective approach available.
From your initial consultation to recovery, Dr. Salim and our team will ensure you feel informed and supported. We’ll take the time to explain every step, provide personalized guidance, and help you move forward with confidence and peace of mind.
