{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:05:50Z","timestamp":1772085950915,"version":"3.50.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurosurg Rev"],"DOI":"10.1007\/s10143-025-03843-0","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T04:17:54Z","timestamp":1760674674000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of bed rest duration after untethering surgery for thickened\/fatty filum terminale: A systematic review and meta-analysis"],"prefix":"10.1007","volume":"48","author":[{"given":"Andrew R.","family":"Stevens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devisha","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunjan","family":"Badwaik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Gallo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"issue":"3","key":"3843_CR1","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1159\/000098836","volume":"43","author":"SM Lew","year":"2007","unstructured":"Lew SM, Kothbauer KF (2007) Tethered cord syndrome: an updated review. Pediatr Neurosurg 43(3):236\u2013248","journal-title":"Pediatr Neurosurg"},{"key":"3843_CR2","doi-asserted-by":"crossref","unstructured":"Yamada S, Iacono RP, Andrade T, Mandybur G, Yamada BS (1995) Pathophysiology of tethered cord syndrome. Neurosurg Clin N Am 6(2):311\u2013323","DOI":"10.1016\/S1042-3680(18)30465-0"},{"key":"3843_CR3","unstructured":"Moriarty TM, Gump WC, Mutchnick IS, Comingore J, Daniels M, Peppas DS, Rosenberg E, White JT, Sizemore ER, Moeller KK (2025) J Neurosurg Pediatr 1:1\u201313"},{"key":"3843_CR4","doi-asserted-by":"publisher","first-page":"e610","DOI":"10.1016\/j.wneu.2020.02.073","volume":"137","author":"M Baldia","year":"2020","unstructured":"Baldia M, Rajshekhar V (2020) Minimizing CSF Leak and Wound Complications in Tethered Cord Surgery with Prone Positioning: Outcomes in 350 Patients. World Neurosurg 137:e610\u2013e617","journal-title":"World Neurosurg"},{"issue":"1","key":"3843_CR5","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3171\/2011.4.PEDS10502","volume":"8","author":"JJ Chern","year":"2011","unstructured":"Chern JJ, Tubbs RS, Patel AJ, Gordon AS, Bandt SK, Smyth MD, Jea A, Oakes WJ (2011) Preventing cerebrospinal fluid leak following transection of a tight filum terminale. J Neurosurg Pediatr 8(1):35\u201338","journal-title":"J Neurosurg Pediatr"},{"issue":"5","key":"3843_CR6","doi-asserted-by":"publisher","first-page":"252","DOI":"10.2176\/nmc.oa.2019-0257","volume":"60","author":"R Kanematsu","year":"2020","unstructured":"Kanematsu R, Hirokawa D, Usami K, Ogiwara H (2020) Is the postoperative horizontal decubitus position following transection of a tight filum terminale in pediatric patients necessary? \u2013 A retrospective cohort study. Neurol Med Chir 60(5):252","journal-title":"Neurol Med Chir"},{"issue":"1","key":"3843_CR7","doi-asserted-by":"publisher","first-page":"113","DOI":"10.4103\/2152-7806.101802","volume":"3","author":"H Ogiwara","year":"2012","unstructured":"Ogiwara H, Morota N, Joko M (2012) Duration of horizontal decubitus after section of a tight filum terminale as a means to prevent cerebrospinal fluid leakage. Surg Neurol Int 3(1):113","journal-title":"Surg Neurol Int"},{"issue":"3","key":"3843_CR8","doi-asserted-by":"publisher","first-page":"705","DOI":"10.3390\/jcm14030705","volume":"14","author":"LG Dietrich","year":"2025","unstructured":"Dietrich LG, Zubler C (2025) Physical and psychological burden of bed rest on patients following free flap reconstruction of the lower limb: a systematic review and possible solutions. J Clin Med 14(3):705","journal-title":"J Clin Med"},{"key":"3843_CR9","doi-asserted-by":"publisher","unstructured":"Liu Q, Zhou R, Chen S, Tan C (2012) Effects of head-down bed rest on the executive functions and emotional response. PLoS One. https:\/\/doi.org\/10.1371\/JOURNAL.PONE.0052160","DOI":"10.1371\/JOURNAL.PONE.0052160"},{"key":"3843_CR10","first-page":"1440","volume":"39","author":"R Teasell","year":"1993","unstructured":"Teasell R, Dittmer DK (1993) Complications of immobilization and bed rest. Part 2: Other complications. Can Fam Physician 39:1440","journal-title":"Can Fam Physician"},{"issue":"7716","key":"3843_CR11","first-page":"332","volume":"339","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339(7716):332\u2013336","journal-title":"BMJ"},{"key":"3843_CR12","doi-asserted-by":"publisher","unstructured":"Higgins JPT, Morgan RL, Rooney AA, et al (2024) A tool to assess risk of bias in non-randomized follow-up studies of exposure effects (ROBINS-E). Environ Int. https:\/\/doi.org\/10.1016\/j.envint.2024.108602","DOI":"10.1016\/j.envint.2024.108602"},{"key":"3843_CR13","unstructured":"R Core Team (2021) R: A language and environment for statistical computing"},{"key":"3843_CR14","doi-asserted-by":"publisher","unstructured":"Schwarzer G (2006) meta: General Package for meta-analysis. CRAN Contrib Packag. https:\/\/doi.org\/10.32614\/CRAN.PACKAGE.META","DOI":"10.32614\/CRAN.PACKAGE.META"},{"key":"3843_CR15","doi-asserted-by":"publisher","unstructured":"Viechtbauer W (2009) metafor: Meta-Analysis Package for R. CRAN Contrib Packag. https:\/\/doi.org\/10.32614\/CRAN.PACKAGE.METAFOR","DOI":"10.32614\/CRAN.PACKAGE.METAFOR"},{"issue":"2","key":"3843_CR16","doi-asserted-by":"publisher","first-page":"64","DOI":"10.35566\/jbds\/v3n2\/wang","volume":"3","author":"N Wang","year":"2023","unstructured":"Wang N (2023) Conducting meta-analyses of proportions in R. J Behav Data Sci 3(2):64\u2013126","journal-title":"J Behav Data Sci"},{"issue":"6","key":"3843_CR17","doi-asserted-by":"publisher","first-page":"1473","DOI":"10.1007\/s00701-022-05218-6","volume":"164","author":"E Edstr\u00f6m","year":"2022","unstructured":"Edstr\u00f6m E, Wessl\u00e9n C, Fletcher-Sandersj\u00f6\u00f6 A, Elmi-Terander A, Sandvik U (2022) Filum terminale transection in pediatric tethered cord syndrome: a single center, population-based, cohort study of 95 cases. Acta Neurochir (Wien) 164(6):1473\u20131480","journal-title":"Acta Neurochir (Wien)"},{"issue":"3","key":"3843_CR18","doi-asserted-by":"publisher","first-page":"132","DOI":"10.2176\/nmc.oa.2017-0200","volume":"58","author":"T Hayashi","year":"2018","unstructured":"Hayashi T, Kimiwada T, Kohama M, Shirane R, Tominaga T (2018) Minimally invasive surgical approach to Filum Lipoma. Neurol Med Chir 58(3):132","journal-title":"Neurol Med Chir"},{"issue":"4","key":"3843_CR19","doi-asserted-by":"publisher","first-page":"384","DOI":"10.3171\/2011.7.PEDS1127","volume":"8","author":"AH Kim","year":"2011","unstructured":"Kim AH, Kasliwal MK, McNeish B, Silvera VM, Proctor MR, Smith ER (2011) Features of the lumbar spine on magnetic resonance images following sectioning of filum terminale: clinical article. J Neurosurg Pediatr 8(4):384\u2013389","journal-title":"J Neurosurg Pediatr"},{"issue":"11","key":"3843_CR20","doi-asserted-by":"publisher","first-page":"3801","DOI":"10.1007\/s00381-024-06507-4","volume":"40","author":"T Nawashiro","year":"2024","unstructured":"Nawashiro T, Kurimoto M, Nagakura M, Kato M, Aoki K, Saito R (2024) Comparison of the inter-laminar approach and laminotomy open approach for filum terminale lipoma: a retrospective analysis. Child\u2019s Nerv Syst 40(11):3801\u20133810","journal-title":"Child\u2019s Nerv Syst"},{"issue":"5","key":"3843_CR21","doi-asserted-by":"publisher","first-page":"461","DOI":"10.3171\/2014.9.PEDS14289","volume":"15","author":"H Ogiwara","year":"2015","unstructured":"Ogiwara H, Joko M, Takado M, Uematsu K, Kameda M, Sasaki N, Kitagawa M, Morota N (2015) Duration of the horizontal decubitus position for prevention of cerebrospinal fluid leakage following transection of a tight filum terminale. J Neurosurg Pediatr 15(5):461\u2013464","journal-title":"J Neurosurg Pediatr"},{"issue":"4","key":"3843_CR22","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1007\/s00381-015-2615-8","volume":"31","author":"MJ Strong","year":"2015","unstructured":"Strong MJ, Thompson EM, Roundy N, Selden NR (2015) Use of lumbar laminoplasty vs. laminotomy for transection of the filum terminale does not affect early complication rates or post-operative course. Childs Nerv Syst 31(4):597","journal-title":"Childs Nerv Syst"},{"issue":"2","key":"3843_CR23","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1159\/000078908","volume":"40","author":"MC Wehby","year":"2004","unstructured":"Wehby MC, O\u2019Hollaren PS, Abtin K, Hume JL, Richards BJ (2004) Occult tight filum terminale syndrome: Results of surgical untethering. Pediatr Neurosurg 40(2):51\u201357","journal-title":"Pediatr Neurosurg"},{"issue":"4","key":"3843_CR24","doi-asserted-by":"publisher","first-page":"391","DOI":"10.3171\/2024.10.PEDS24425","volume":"35","author":"LBE Shields","year":"2025","unstructured":"Shields LBE, Mutchnick IS (2025) Titanium clips and ligamentum flavum\u2013epidural fat patch graft for midline lumbar durotomy closure in pediatric neurosurgery. J Neurosurg Pediatr 35(4):391\u2013399","journal-title":"J Neurosurg Pediatr"},{"issue":"9186","key":"3843_CR25","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1016\/S0140-6736(98)10063-6","volume":"354","author":"C Allen","year":"1999","unstructured":"Allen C, Glasziou P, Del Mar C (1999) Bed rest: A potentially harmful treatment needing more careful evaluation. Lancet 354(9186):1229\u20131233","journal-title":"Lancet"},{"issue":"6","key":"3843_CR26","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1212\/01.WNL.0000115387.67958.0F","volume":"62","author":"F Ebinger","year":"2004","unstructured":"Ebinger F, Kosel C, Pietz J, Rating D (2004) Strict bed rest following lumbar puncture in children and adolescents is of no benefit. Neurology 62(6):1003\u20131005","journal-title":"Neurology"},{"key":"3843_CR27","doi-asserted-by":"publisher","first-page":"46","DOI":"10.21037\/tgh-20-188","volume":"6","author":"T Rafeeqi","year":"2021","unstructured":"Rafeeqi T, Pearson EG (2021) Enhanced recovery after surgery in children. Transl Gastroenterol Hepatol 6:46","journal-title":"Transl Gastroenterol Hepatol"},{"issue":"2","key":"3843_CR28","doi-asserted-by":"publisher","first-page":"121","DOI":"10.2217\/cer-2021-0258","volume":"11","author":"R Tazreean","year":"2022","unstructured":"Tazreean R, Nelson G, Twomey R (2022) Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res 11(2):121\u2013129","journal-title":"J Comp Eff Res"},{"key":"3843_CR29","doi-asserted-by":"publisher","first-page":"100128","DOI":"10.1016\/j.yjpso.2024.100128","volume":"6","author":"S Emil","year":"2024","unstructured":"Emil S, Ferreira J, Frigon C, Guadagno E, Horge M, Laurie J (2024) Starting on the road to pediatric enhanced recovery after surgery: strategies and themes. J Pediatr Surg Open 6","journal-title":"J Pediatr Surg Open"},{"issue":"9","key":"3843_CR30","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/j.apmr.2011.01.024","volume":"93","author":"SJ Harkema","year":"2012","unstructured":"Harkema SJ, Schmidt-Read M, Lorenz DJ, Edgerton VR, Behrman AL (2012) Balance and ambulation improvements in individuals with chronic incomplete spinal cord injury using locomotor training-based rehabilitation. Arch Phys Med Rehabil 93(9):1508\u20131517","journal-title":"Arch Phys Med Rehabil"},{"issue":"7","key":"3843_CR31","doi-asserted-by":"publisher","first-page":"e073461","DOI":"10.1136\/bmjopen-2023-073461","volume":"13","author":"V Crispi","year":"2023","unstructured":"Crispi V, Bolton W, Town R, Anderson I (2023) Effect of neurosurgical high observation beds (HOBs) on service provision: a single-centre experience and cost analysis. BMJ Open 13(7)","journal-title":"BMJ Open"},{"key":"3843_CR32","unstructured":"Phillips N (2018) Cranial neurosurgery GIRFT programme national specialty report GIRFT is delivered in partnership with the Royal National Orthopaedic Hospital NHS Trust and NHS Improvement"}],"container-title":["Neurosurgical Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03843-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10143-025-03843-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10143-025-03843-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T04:17:44Z","timestamp":1772079464000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10143-025-03843-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3843"],"URL":"https:\/\/doi.org\/10.1007\/s10143-025-03843-0","relation":{},"ISSN":["1437-2320"],"issn-type":[{"value":"1437-2320","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]},"assertion":[{"value":"23 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 October 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"718"}}