Tethered Spinal Cord Syndrome Discovered during Ultrasound-guided Caudal Block

Education| June 2024 Tethered Spinal Cord Syndrome Discovered during Ultrasound-guided Caudal Block Ramón Eizaga Rebollar, M.D.; Ramón Eizaga Rebollar, M.D. 1Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain. https://orcid.org/0000-0001-7431-3892 Search for other works by this author on: This Site PubMed Google Scholar Ana Isabel Carnota Martín, M.D.; Ana Isabel Carnota Martín, M.D. 2Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain. https://orcid.org/0000-0003-4098-3104 Search for other works by this author on: This Site PubMed Google Scholar Elena Borreiros Rodríguez, M.D.; Elena Borreiros Rodríguez, M.D. 3Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Cádiz, Spain. https://orcid.org/0000-0001-7523-5005 Search for other works by this author on: This Site PubMed Google Scholar Raquel Rojo Díez, M.D. Raquel Rojo Díez, M.D. 4Department of Pediatric Surgery, Puerta del mar University Hospital, Cádiz, Spain. Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal's Web site (). Published online first on March 18, 2024. Address correspondence to Dr. Eizaga Rebollar: Anesthesiology June 2024, Vol. 140, 1203–1204. https://doi.org/10.1097/ALN.0000000000004899 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Ramón Eizaga Rebollar, Ana Isabel Carnota Martín, Elena Borreiros Rodríguez, Raquel Rojo Díez; Tethered Spinal Cord Syndrome Discovered during Ultrasound-guided Caudal Block. Anesthesiology 2024; 140:1203–1204 doi: https://doi.org/10.1097/ALN.0000000000004899 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: anesthesia, caudal, tethered cord syndrome, ultrasonography Figure 1, B and C correspond to a healthy 2-yr-old boy who underwent hypospadias repair during general anesthesia combined with ultrasound-guided continuous caudal block. Mid-sagittal plane lumbar ultrasound (Sonosite SII, FUJIFILM Sonosite, Inc., USA) showed the dural sac end at S4 vertebral level, significantly lower for the child's age—usually at S1 to S2—and consistent with tethered spinal cord syndrome (fig. 1B). Ultrasound-guided caudal anesthesia has proven superior to landmark technique in neonates/infants in terms of safety and effectiveness. However, this may not be the case in older children.1 Despite its many benefits, ultrasound guidance is used in only about 3% of these blocks.2 Occult spinal dysraphism incidence in healthy children is about 0.1% but can reach up to 2% in those with simple urogenital anomalies (especially hypospadias).3 As compared to a normal spine (fig. 1A), sonographic features of tethered spinal cord syndrome include... You do not currently have access to this content.