ROGRESSIVE neurological, urological, and orthopedic dysfunction due to congenital fixation or tethering

dysfunction due to congenital fixation or tethering of the distal spinal cord by the terminal filum is known as TCS. This member of the OSD family is often seen by pediatric and general neurosurgeons, and both the diagnosis and treatment are controversial and can be difficult. Drawing from a detailed literature review and our own experience with this entity at the Children’s Hospital, Birmingham, Alabama, we review facets of childhood tethered spinal cord syndrome, discuss many of the clinically relevant aspects of this disease, and share our views on the management of this problem.