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Pediatric tethered cord syndrome: response of scoliosis to untethering procedures
Journal of Neurosurgery: Pediatrics, 09/08/09
McGirt MJ et al. – In this experience with pediatric TCS–associated scoliosis, patients with Risser Grades 3–5 and Cobb angles < 40° did not experience curve progression after tethered cord release. Patients with Risser Grades 0–2 and Cobb angles > 40° were at greatest risk of curve progression after cord untethering. Pediatric patients with TCSassociated scoliosis should be monitored closely for curve progression using standing radiographs after spinal cord untethering, particularly those with curves > 40° or who have Risser Grades 0–2.
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