II. Pathophysiology
- Progressive, limited movement of spinal cord within spinal canal
- Tissue attachments to spinal cord prevent its movement
- Acquired
- Congenital
- Filum Terminale is typically a fine, thread-like attachment anchoring the spinal cord to the Coccyx
- A thickened Filum Terminale may result in a congenital Tethered Cord
III. Symptoms
-
Low Back Pain
- Worse with Exercise
- Leg Weakness
- Urinary Incontinence
IV. Signs
- Scoliosis
- Lower extremity sensory loss in Dermatome distribution
- Lower Extremity Lower Motor Neuron Deficits
- Calf Muscle atrophy
- Weak ankle dorsiflexion
- Hyporeflexia
V. Imaging
- MRI Lumbar Spine
VI. Management
- Consult Neurosurgery