{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:05:05Z","timestamp":1780131905130,"version":"3.54.0"},"reference-count":50,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:p>The importance of early surgery for tethered cord syndrome in the pediatric population is well established. Optimal treatment and prognosis of tethered cord in adults, on the other hand, is less clear. Some advocate a conservative approach in asymptomatic patients, while others recommend early detethering in all patients. For symptomatic patients, however, there is a consensus in favor of early surgery to prevent progression of neurological deficit. Many studies have reported cessation of neurological decline or reversal of recently acquired neurological deficits in patients with adult tethered cord syndrome. There are limited data in the literature about late surgery for the treatment of tethered spinal cords when the neurological deficits are longstanding. We report on a 37-year-old woman who demonstrated dramatic neurological improvement after surgical release of a tethered spinal cord more than 20 years after the onset of progressive neurological deficits.<\/jats:p>","DOI":"10.3171\/2010.3.focus1078","type":"journal-article","created":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T10:06:52Z","timestamp":1277978812000},"page":"E11","source":"Crossref","is-referenced-by-count":10,"title":["Reversal of longstanding neurological deficits after a late release of tethered spinal cord"],"prefix":"10.3171","volume":"29","author":[{"given":"Gaurav","family":"Gupta","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Heary","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Michaels","sequence":"additional","affiliation":[{"name":"Neuroscience, UMDNJ\u2013New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0290011","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1007\/s10143-008-0140-x","article-title":"Surgery in adult onset tethered cord syndrome (ATCS): review of literature on occasion of an exceptional case","volume":"31","author":"Aufschnaiter","year":"2008"},{"key":"b2-0290011","series-title":"Eur J Paediatr Neurol","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/S1090-3798(98)80017-2","article-title":"Closed spinal dysraphism: a review on diagnosis and treatment in infancy","volume":"2","author":"Cornette","year":"1998"},{"key":"b3-0290011","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"1761","DOI":"10.1212\/WNL.50.6.1761","article-title":"Tethered cord syndrome in occult spinal dysraphism: timing and outcome of surgical release","volume":"50","author":"Cornette","year":"1998"},{"key":"b4-0290011","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"304","DOI":"10.3171\/2009.4.SPINE08265","article-title":"Neurological outcome after surgical management of adult tethered cord syndrome. 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