{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:05:51Z","timestamp":1790892351510,"version":"4.1.0"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2007,8]]},"abstract":"<jats:p>\u2713The concept of an occult tethered cord syndrome (OTCS), in which a normally located conus is tethered by the terminal filum, is controversial. Children with OTCS typically present with neurogenic urinary incontinence that has been refractory to medical management. Authors of a number of case series have suggested that section of the terminal filum may improve urinary symptoms, but the quality of the evidence supporting this treatment is not good.<\/jats:p>\n                  <jats:p>The literature related to OTCS is reviewed and the progress toward a randomized controlled trial to assess the value of filum section in OTCS is detailed. A scientific answer to the question of filum section for OTCS awaits the results of an ongoing pilot randomized controlled trial and a more definitive trial to follow.<\/jats:p>","DOI":"10.3171\/foc-07\/08\/e5","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T07:10:32Z","timestamp":1201158632000},"page":"1-4","source":"Crossref","is-referenced-by-count":26,"title":["Section of the terminal filum for occult tethered cord syndrome: toward a scientific answer"],"prefix":"10.3171","volume":"23","author":[{"given":"Paul","family":"Steinbok","sequence":"first","affiliation":[{"name":"Divisions of Neurosurgery and"},{"name":"Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew E.","family":"MacNeily","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Urology, Department of Pediatric Surgery, British Columbia's Children's Hospital, Children's and Women's Health Centre, Provincial Health Services Agency; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655902320783863"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000103451.63301.0B"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67239-4"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1979.tb03585.x"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00578-5"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1995.tb07681.x"},{"key":"p_7","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1093\/neurosurgery\/30.CN_suppl_1.457","volume":"30","author":"Hendrick EB","year":"1983","journal-title":"Clin Neurosurg"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1358\/dot.2002.38.7.704677"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1159\/000119610"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00580-3"},{"key":"p_11","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/S0022-5347(17)39481-8","volume":"144","author":"Khoury AE","year":"1990","journal-title":"J Urol"},{"key":"p_12","first-page":"610","volume":"36","author":"Lagace EA","year":"1993","journal-title":"J Fam Pract"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2006.04.004"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.334"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.04.090"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-003-0829-7"},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1159\/000120965"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199007000-00012"},{"key":"p_20","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1159\/000120964","volume":"23","author":"Pang D","year":"1995","journal-title":"Pediatr Neurosurg"},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1982.57.1.0032"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-003-1210-5"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(97)00377-7"},{"key":"p_24","doi-asserted-by":"publisher","DOI":"10.1007\/s003810050482"},{"key":"p_25","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00381-002-0665-1","volume":"19","author":"Sel\u00e7uki M","year":"2003","journal-title":"Childs Nerv Syst"},{"key":"p_28","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000072341.34333.43"},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.109196"},{"key":"p_31","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.281.6250.1243"},{"key":"p_32","doi-asserted-by":"publisher","DOI":"10.1007\/BF00587817"},{"key":"p_33","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199309000-00004"},{"key":"p_34","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199404000-00005"},{"key":"p_35","doi-asserted-by":"publisher","DOI":"10.1159\/000078908"},{"key":"p_36","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0022-5347(17)62378-4","volume":"101","author":"Wolin LH","year":"1969","journal-title":"J Urol"},{"key":"p_37","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S1042-3680(18)30465-0","volume":"6","author":"Yamada S","year":"1995","journal-title":"Neurosurg Clin N Am"},{"key":"p_38","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06074.x"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/23\/2\/foc-07_08_e5.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/23\/2\/foc-07_08_e5.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/23\/2\/foc-07_08_e5.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:51:25Z","timestamp":1780131085000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/23\/2\/foc-07_08_e5.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8]]},"references-count":34,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/foc-07\/08\/e5","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,8]]}}}