{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:04:26Z","timestamp":1790892266956,"version":"4.1.0"},"reference-count":5,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Neurosurg"],"published-print":{"date-parts":[[2004]]},"abstract":"<jats:p>The entity of an occult tight filum terminale syndrome, characterized by clinical findings consistent with a tethered cord syndrome, but with the conus ending in a normal position, has been recognized recently. The indications for sectioning the filum terminale in this situation are not well characterized and are controversial. We report a retrospective review of a consecutive series of 60 children (ages 3\u201318 years) with a diagnosis of occult tight filum terminale syndrome who underwent section of the filum and were followed for more than 6 months (mean 13.9 months). The criteria for surgical intervention were (1) spina bifida occulta, (2) progressive bladder instability unresponsive to conservative measures, (3) urological\/nephrological evaluation to confirm or rule out nonneurogenic etiology, and (4) two or more of the following: (a) bowel involvement (fecal incontinence or chronic constipation), (b) lower extremity weakness, (c) gait changes, (d) reflex\/tone abnormalities, (e) sensory disturbances, (f) back\/leg pain, (g) orthopedic abnormalities\/limb length discrepancy, (h) scoliosis\/lordosis, (i) recurrent urinary tract infections, (j) abnormal voiding cystourethrogram\/ultrasound, (k) syringomyelia, and (l) neurocutaneous stigmata. Postoperatively, urinary incontinence\/retention showed complete resolution in 52%, marked improvement (&gt;95% resolution) in 35%, moderate improvement (&gt;75%) in 6%, minimal improvement (&gt; 50%) in 6%, and no improvement (&lt;50%) in 2%. Fecal incontinence completely resolved in 56%, improved in 41%, and was unchanged in 3%. Weakness, sensory abnormalities, and pain improved or resolved in all patients.<\/jats:p>","DOI":"10.1159\/000078908","type":"journal-article","created":{"date-parts":[[2004,8,9]],"date-time":"2004-08-09T09:38:42Z","timestamp":1092044322000},"page":"51-57","source":"Crossref","is-referenced-by-count":87,"title":["Occult Tight Filum terminale Syndrome: Results of Surgical Untethering"],"prefix":"10.1159","volume":"40","author":[{"given":"Monica C.","family":"Wehby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick S.","family":"O\u2019Hollaren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyvan","family":"Abtin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny L.","family":"Hume","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.","family":"Richards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2004,8,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s003810050482"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199503000-00065"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1080\/003655902320783863"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.109196"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(89)90115-0"}],"container-title":["Pediatric Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/78908","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/78908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:19:24Z","timestamp":1745464764000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000078908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004]]},"references-count":5,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2004,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000078908","archive":["Portico"],"relation":{},"ISSN":["1016-2291","1423-0305"],"issn-type":[{"value":"1016-2291","type":"print"},{"value":"1423-0305","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004]]}}}