Deprecated: Optional parameter $post_id declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/api/api-value.php on line 270

Deprecated: Optional parameter $value declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/api/api-value.php on line 398

Deprecated: Optional parameter $post_id declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/api/api-value.php on line 398

Deprecated: Optional parameter $post_id declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/api/api-value.php on line 483

Deprecated: Creation of dynamic property ACF::$fields is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/fields.php on line 136

Deprecated: Creation of dynamic property ACF::$locations is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/locations.php on line 130

Deprecated: Optional parameter $key declared before required parameter $data is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/cache.php on line 399

Deprecated: Creation of dynamic property ACF::$cache is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/cache.php on line 281

Deprecated: Creation of dynamic property ACF::$deprecated is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/deprecated.php on line 228

Deprecated: Creation of dynamic property ACF::$json is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/json.php on line 185

Deprecated: Creation of dynamic property ACF::$local is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/local.php on line 884

Deprecated: Creation of dynamic property acf_loop::$loops is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/loop.php on line 26

Deprecated: Creation of dynamic property ACF::$loop is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/loop.php on line 270

Deprecated: Creation of dynamic property ACF::$revisions is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/revisions.php on line 413

Deprecated: Creation of dynamic property acf_validation::$errors is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/validation.php on line 26

Deprecated: Creation of dynamic property ACF::$validation is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/validation.php on line 212

Deprecated: Optional parameter $key declared before required parameter $value is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/ajax/class-acf-ajax.php on line 99

Deprecated: Creation of dynamic property acf_form_customizer::$preview_values is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-customizer.php on line 26

Deprecated: Creation of dynamic property acf_form_customizer::$preview_fields is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-customizer.php on line 27

Deprecated: Creation of dynamic property acf_form_customizer::$preview_errors is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-customizer.php on line 28

Deprecated: Creation of dynamic property ACF::$form_front is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-front.php on line 664

Deprecated: Creation of dynamic property acf_form_widget::$preview_values is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-widget.php on line 34

Deprecated: Creation of dynamic property acf_form_widget::$preview_reference is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-widget.php on line 35

Deprecated: Creation of dynamic property acf_form_widget::$preview_errors is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/forms/form-widget.php on line 36

Deprecated: Creation of dynamic property acf_field_oembed::$width is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/fields/class-acf-field-oembed.php on line 31

Deprecated: Creation of dynamic property acf_field_oembed::$height is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/fields/class-acf-field-oembed.php on line 32

Deprecated: Creation of dynamic property acf_field_google_map::$default_values is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/fields/class-acf-field-google-map.php on line 33

Deprecated: Creation of dynamic property acf_field__group::$have_rows is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/includes/fields/class-acf-field-group.php on line 31

Deprecated: Optional parameter $i declared before required parameter $post_id is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-repeater.php on line 715

Deprecated: Optional parameter $i declared before required parameter $post_id is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-repeater.php on line 781

Deprecated: Optional parameter $name declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-flexible-content.php on line 1052

Deprecated: Optional parameter $i declared before required parameter $post_id is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-flexible-content.php on line 1088

Deprecated: Optional parameter $i declared before required parameter $post_id is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-flexible-content.php on line 1140

Deprecated: Optional parameter $id declared before required parameter $field is implicitly treated as a required parameter in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-gallery.php on line 300

Deprecated: Creation of dynamic property acf_field_clone::$cloning is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-clone.php on line 34

Deprecated: Creation of dynamic property acf_field_clone::$have_rows is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/advanced-custom-fields-pro/pro/fields/class-acf-field-clone.php on line 35

Deprecated: Creation of dynamic property JSON_API::$query is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/json-api/singletons/api.php on line 6

Deprecated: Creation of dynamic property JSON_API::$introspector is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/json-api/singletons/api.php on line 7

Deprecated: Creation of dynamic property JSON_API::$response is deprecated in /nas/content/live/csfflowdev/wp-content/plugins/json-api/singletons/api.php on line 8
Surgical treatment of spinal cord and rootlet tethering – CSF Flow

Surgical treatment of spinal cord and rootlet tethering

Spinal cord and rootlet tethering to the surrounding dura by arachnoidal scarring from any cause will alter normal spinal cord and rootlet elasticity as well as CSF flow. Such change in dynamic can lead to a progressive myelopathy with presenting symptoms of progressive sensory, motor, and functional loss, spasticity, neuropathic pain, and autonomic dysfunction. Common causes of spinal arachnoidal scarring include trauma, hemorrhage, infection, chronic stenosis, and prior spinal cord surgery. 

Spinal cord and rootlet tethering can also lead to progressive spinal cord myelomalacia and cystic cavitation (syringomyelia), as a result of tensile injury to the neural elements and alteration of CSF flow. In such cases, presenting symptoms are the same as those with progressive myelopathies caused by spinal cord and rootlet tethering alone.

We discuss our 26-year surgical experience treating progressive myelopathies from spinal cord and rootlet tethering, with or without progressive myelomalacia and cystic cavitation (syringomyelia), along with objective and subjective patient outcome.

Pre and post-surgical MR imaging, intraoperative ultrasonography video, and operative evoked potential monitoring data will be used to discuss the effects of arachnoidal scarring on the normal spinal cord dynamic within the spinal axis.