We are independent & ad-supported. We may earn a commission for purchases made through our links.

Advertiser Disclosure

Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.

How We Make Money

We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently from our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What Is Involved in Tethered Cord Surgery?

Mary McMahon
Updated May 17, 2024
Our promise to you
WiseGEEK is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At WiseGEEK, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

Tethered cord surgery to release a spinal cord that has become trapped along the vertebrae is a four to six hour procedure performed under general anesthesia to expose the area of interest and free the spinal cord. Typically a neurological surgeon performs the procedure, with a support team to monitor the patient throughout for signs of distress. The procedure is complex and carries some risks like paralysis and chronic pain, but leaving a tethered cord untreated can cause severe complications for the patient.

Patients can develop a tethered spinal cord as a result of congenital abnormalities, trauma, and spinal surgeries. In all cases, the normally flexible spinal cord is fixed in place, and cannot accommodate growth and some types of movement. Patients can start to develop wobbly gaits, lack of bladder control, and other issues because of the pressure on the spinal cord. A surgery can relieve it, allowing the patient to recover some functions.

Before a tethered cord surgery can take place, the surgeon usually requests a battery of medical imaging studies to get a detailed picture of what is going on inside the spine. This is critical for surgical planning, and can provide some information about whether the surgery will be successful. Surgeons also request blood work and urinalysis to get a complete picture of patient health and check for any issues that might complicate anesthesia. This information can also establish a baseline that may be helpful in post surgical followups.

With all the preparations for tethered cord surgery concluded, the surgeon can schedule the procedure and the patient can meet with an anesthesiologist and the surgeon to discuss anesthesia and recovery. The patient also needs to sign consent forms indicating an understanding of the surgery and what is involved. On the day of the surgery, the patient must fast, and reports to the hospital for preparation, which includes the administration of medications before the anesthesiologist induces anesthesia and the team positions the patient face down so the surgeon can access the back.

The surgeon carefully cuts through the layers of tissue and bone to access the spinal canal for tethered cord surgery. The surgeon can remove adhesions, trim away growths, and address any other issues to free the spinal cord. If it is not possible to address the tethered cord, the surgeon can cut some spinal nerve roots to limit pain and discomfort by reducing pressure around the spinal cord. Once the surgeon is done, the team can transfer the patient to recovery.

Patients in recovery from tethered cord surgery need prophylactic antibiotics to prevent infection and pain management to address the pain associated with the surgery. Usually the patient needs to lie flat initially to allow the spine to recover. Nurses and doctors perform periodic neurological assessments to check for spinal cord injuries and complications. As the patient heals, activity levels can increase, until the patient can return to normal activities.

WiseGEEK is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGEEK researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments

Mary McMahon

Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

Read more
WiseGEEK, in your inbox

Our latest articles, guides, and more, delivered daily.

WiseGEEK, in your inbox

Our latest articles, guides, and more, delivered daily.