{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T09:57:26Z","timestamp":1775901446810,"version":"3.50.1"},"reference-count":6,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Tethered cord release for a tight filum terminale is a common pediatric operation associated with low morbidity and mortality rates. While almost all would agree that keeping patients lying flat after the operation will prevent a CSF leak, the optimal period of doing so has not been determined. In this study, the authors examined whether a longer length of stay in the hospital for the sole purpose of maintaining patients flat correlates with a decreased rate of CSF leakage.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Intraoperative and postoperative data were retrospectively collected in 222 cases of simple tethered cord release at 3 large children's hospitals. Risk factors for postoperative CSF leakage were identified.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Thirty-eight patients were maintained lying flat for 24 hours, 86 for 48 hours, and 98 for 72 hours at the individual surgeon's discretion. A CSF leak occurred in 13 patients (5.9%) and pseudomeningocele developed in 9 patients (4.1%). In the univariate analysis, operating time, use of the microscope, use of dural sealant, and duration of remaining flat after surgery failed to correlate with the occurrence of complications.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>A longer hospital stay for maintaining patients flat after a simple tethered cord release appears not to prevent CSF leakage. However, a larger patient cohort will be needed to detect small differences in complication rates.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2011.4.peds10502","type":"journal-article","created":{"date-parts":[[2011,7,1]],"date-time":"2011-07-01T14:03:40Z","timestamp":1309529020000},"page":"35-38","source":"Crossref","is-referenced-by-count":33,"title":["Preventing cerebrospinal fluid leak following transection of a tight filum terminale"],"prefix":"10.3171","volume":"8","author":[{"given":"Joshua J.","family":"Chern","sequence":"first","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Shane","family":"Tubbs","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akash J.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amber S.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Kathleen","family":"Bandt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St. Louis Children's Hospital, St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Smyth","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St. Louis Children's Hospital, St. Louis, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jea","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Jerry","family":"Oakes","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital, Birmingham, Alabama;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0080035","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1016\/S0022-5347(17)39481-8","article-title":"Occult spinal dysraphism: clinical and urodynamic outcome after division of the filum terminale","volume":"144","author":"Khoury","year":"1990"},{"key":"b2-0080035","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1159\/000121155","article-title":"Spinal lipomas in children: outcome of 270 procedures","volume":"26","author":"La Marca","year":"1997"},{"key":"b3-0080035","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1159\/000120965","article-title":"Occult filum terminale syndrome","volume":"23","author":"Nazar","year":"1995"},{"key":"b4-0080035","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"32","DOI":"10.3171\/jns.1982.57.1.0032","article-title":"Tethered cord syndrome in adults","volume":"57","author":"Pang","year":"1982"},{"issue":"5 Suppl","key":"b5-0080035","series-title":"J Neurosurg","first-page":"302","article-title":"Occult tethered cord syndrome: the case for surgery","volume":"104","author":"Selden","year":"2006"},{"key":"b6-0080035","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1159\/000078908","article-title":"Occult tight filum terminale syndrome: results of surgical untethering","volume":"40","author":"Wehby","year":"2004"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/8\/1\/article-p35.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/8\/1\/article-p35.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/8\/1\/article-p35.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T15:49:51Z","timestamp":1681573791000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/8\/1\/article-p35.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2011,7]]},"references-count":6,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2011.4.peds10502","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7]]}}}