SPLIT SPINAL CORD MALFORMATION

Symptoms:

The symptoms of split spinal cord malformation can vary widely, and their severity depends on the extent of the malformation. Common symptoms include:

• Back Pain: Pain in the back or spine.
• Neurological Symptoms: Such as muscle weakness, numbness, or tingling in the lower extremities.
• Orthopedic Issues: Deformities of the spine, such as scoliosis or kyphosis.
• Bladder and Bowel Dysfunction: In some cases, problems with urinary or bowel control may occur.

Diagnosis:

Diagnosing split spinal cord malformation involves a comprehensive approach that combines the following techniques:

• Medical History: Physicians often conduct a detailed assessment of the patient’s symptoms and medical history.
• Physical Examination:
• Imaging Studies: MRI or CT scans to visualize the spinal cord and identify the presence of a split or divided cord
• Electromyography (EMG) and Nerve Conduction Studies: To assess nerve function and identify any abnormalities.

Treatment Methods:

The treatment of split spinal cord malformation is typically individualized based on the severity of symptoms and associated issues. Treatment may include:

• Observation: In cases where symptoms appear mild and do not cause significant impairment, doctors may implement a watch-and-wait approach.
• Physical Therapy: Exercises to improve muscle strength, flexibility, and overall function.
• Orthopedic Management: Doctors may recommend bracing or other orthopedic interventions to address spinal deformities.
• Surgery: In severe cases with significant symptoms or complications, doctors may recommend surgical intervention.

Surgical Procedures:

There are several surgical procedures aimed at addressing the complexities of split spinal cord malformation.

• Detethering Surgery: One common surgical procedure is detethering surgery, which aims to release any abnormal attachments of the spinal cord to surrounding tissues. This procedure is particularly crucial when a tethered spinal cord is present, as it helps alleviate tension and prevent further complications.
• Spinal Fusion: Doctors use spinal fusion as another surgical option. This procedure involves joining two or more vertebrae together, stabilizing the spine, and preventing further misalignment. Spinal instrumentation, such as rods, screws, or other devices, will support and maintain spinal alignment. In cases of associated scoliosis or other spinal deformities, doctors may use spinal fusion to stabilize the spine.
• Tumor Excision: In cases where associated tumors appear present, doctors may use surgical excision to remove them. This not only addresses the tumor but also helps alleviate pressure on the spinal cord.

Non-Surgical Treatment:

In cases where symptoms appear mild and do not cause significant impairment, our doctors will first take a conservative approach. This can involve close observation and monitoring of the condition. Physical therapy plays a pivotal role in managing split spinal cord malformation. Tailored exercises will improve muscle strength, flexibility, and overall functional ability. Orthopedic management, including the use of braces or other interventions, works well to address spinal deformities and provide support.

Benefits of Surgical Treatment:

Surgical treatment for split spinal cord malformation offers several benefits, including the potential for improved neurological function, stabilization of the spine, and prevention of further deformities. Detethering surgery can release tension in the spinal cord, reducing the risk of complications such as neurological deficits. In addition, spinal fusion and instrumentation provide structural support, contributing to enhanced spinal stability and alignment.

Additionally, surgical intervention may alleviate pain and improve the patient’s overall quality of life. Furthermore, the benefits extend beyond the physical realm, positively impacting psychological well-being and functional independence.

Recovery Period:

The recovery period following surgical treatment for split spinal cord malformation varies depending on the specific procedures performed and the individual patient’s response. In general, patients may experience a period of postoperative care, including pain management, physical therapy, and close monitoring for any signs of complications.

Physical therapy plays a crucial role in the recovery process. Moreover, therapists work closely with patients to gradually regain strength, flexibility, and functional abilities. The duration of the recovery period can range from weeks to months, and ongoing follow-up appointments with healthcare providers are essential to monitor progress and address any concerns.

Reasons to Choose the Southwest Scoliosis and Spine Institute:

Patients facing the complexities of split spinal cord malformation should seek treatment at the Southwest Scoliosis and Spine Institute. This specialized institute offers several advantages:

• Experienced Specialists: The institute is staffed with experienced spine specialists who possess expertise in the diagnosis and treatment of complex spinal conditions, including split spinal cord malformation.
• Comprehensive Diagnostic and Treatment Options: The institute provides a range of comprehensive diagnostic and treatment options, ensuring that each patient receives individualized care tailored to their unique needs.
• Multidisciplinary Approach: The Southwest Scoliosis and Spine Institute employs a multidisciplinary approach, involving collaboration among various healthcare professionals to address the diverse aspects of spinal conditions.
• Focus on Individualized Care: Patients benefit from a patient-centered approach, where treatment plans are customized to address their specific symptoms, concerns, and goals.
• Advanced Surgical Techniques: The institute maintains state-of-the-art technology, allowing for precision in surgical interventions and enhancing overall treatment outcomes.

Conclusion

In conclusion, the treatment of split spinal cord malformation necessitates a thorough understanding of its condition. While non-surgical treatments may suffice in milder cases, surgical interventions offer significant benefits in managing severe symptoms and preventing further complications. Therefore, the decision to choose surgical treatment is guided by individualized considerations, and the recovery period involves emphasizing physical therapy and postoperative care. For patients seeking specialized care for split spinal cord malformation, they should consider the Southwest Scoliosis and Spine Institute with offices in Dallas, Plano, and Frisco, Texas.  The reason is simple — we are a reputable and comprehensive center offering experienced specialists, individualized care, and advanced treatment options.

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National Library of Medicine: Characteristics of Split Spinal Cord Malformation