{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T09:57:28Z","timestamp":1775901448346,"version":"3.50.1"},"reference-count":9,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2016,6]]},"abstract":"\nOBJECTIVE<\/jats:title>\nPostoperative management following the release of simple spinal cord\u2013tethering lesions is highly variable. As a quality improvement initiative, the authors aimed to determine whether an institutional protocol of discharging patients on postoperative day (POD) 1 was associated with a higher rate of postoperative CSF leaks than the prior protocol of discharge on POD 2.<\/jats:p><\/jats:sec>\n\nMETHODS<\/jats:title>\nThis was a single-center retrospective review of all children who underwent release of a spinal cord\u2013tethering lesion that was not associated with a substantial fascial or dural defect (i.e., simple spinal cord detethering) during 2 epochs: prior to and following the institution of a protocol for discharge on POD 1. Outcomes included the need for and timing of nonroutine care of the surgical site, including return to the operating room, wound suturing, and nonsurgical evaluation and management.<\/jats:p><\/jats:sec>\n\nRESULTS<\/jats:title>\nOf 169 patients identified, none presented with CSF-related complications prior to discharge. In the preintervention group (n = 113), the postoperative CSF leak rate was 4.4% (5\/113). The mean length of stay was 2.3 days. In the postintervention group, the postoperative CSF leak rate was 1.9% (1\/53) in the patients with postdischarge follow-up. The mean length of stay in that group was 1.3 days.<\/jats:p><\/jats:sec>\n\nCONCLUSIONS<\/jats:title>\nAt a single academic children's hospital, a protocol of discharging patients on POD 1 following uncomplicated release of a simple spinal cord\u2013tethering lesion was not associated with an increased rate of postoperative CSF leaks, relative to the previous protocol. The rates identified are consistent with the existing literature. The authors' practice has changed to discharge on POD 1 in most cases.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.10.peds15318","type":"journal-article","created":{"date-parts":[[2016,2,5]],"date-time":"2016-02-05T14:58:43Z","timestamp":1454684323000},"page":"651-656","source":"Crossref","is-referenced-by-count":7,"title":["Outcome of hospital discharge on postoperative Day 1 following uncomplicated tethered spinal cord release"],"prefix":"10.3171","volume":"17","author":[{"given":"Seerat","family":"Poonia","sequence":"first","affiliation":[{"name":"University of Colorado School of Medicine;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Graber","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Corbett Wilkinson","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent R.","family":"O'neill","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H.","family":"Handler","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd C.","family":"Hankinson","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus; and"},{"name":"Adult and Child Center for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-peds15318","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3171\/2011.4.PEDS10502","article-title":"Preventing cerebrospinal fluid leak following transection of a tight filum terminale","volume":"8","author":"Chern","year":"2011"},{"key":"b2-peds15318","series-title":"Principles and Practice of Pediatric Neurosurgery","article-title":"Occult spinal dysraphism","author":"Cohrane","year":"2014"},{"key":"b3-peds15318","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"559","DOI":"10.3171\/2014.2.PEDS13528","article-title":"Filum terminale lipomas: imaging prevalence, natural history, and conus position","volume":"13","author":"Cools","year":"2014"},{"key":"b4-peds15318","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1016\/j.juro.2006.03.116","article-title":"Outcome in patients who underwent tethered cord release for occult spinal dysraphism","volume":"176","author":"Guerra","year":"2006"},{"key":"b5-peds15318","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1007\/s003810050081","article-title":"Surgical treatment supposed natural history of the tethered cord with occult spinal dysraphism","volume":"13","author":"Koyanagi","year":"1997"},{"key":"b6-peds15318","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"868","DOI":"10.1227\/01.NEU.0000114923.76542.81","article-title":"Conservative management of asymptomatic spinal lipomas of the conus","volume":"54","author":"Kulkarni","year":"2004"},{"key":"b7-peds15318","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"461","DOI":"10.3171\/2014.9.PEDS14289","article-title":"Duration of the horizontal decubitus position for prevention of cerebrospinal fluid leakage following transection of a tight filum terminale","volume":"15","author":"Ogiwara","year":"2015"},{"key":"b8-peds15318","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"42","DOI":"10.3171\/2010.10.PEDS09550","article-title":"Retethering of transected fatty filum terminales","volume":"7","author":"Ogiwara","year":"2011"},{"key":"b9-peds15318","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1227\/01.NEU.0000363598.81101.7B","article-title":"Long-term outcome of total and near-total resection of spinal cord lipomas and radical reconstruction of the neural placode, part II: outcome analysis and preoperative profiling","volume":"66","author":"Pang","year":"2010"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/17\/6\/article-p651.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/17\/6\/article-p651.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/17\/6\/article-p651.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T13:16:48Z","timestamp":1681564608000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/17\/6\/article-p651.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":9,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2015.10.peds15318","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]}}}