In tethered cord syndrome, the spinal cord is anchored within the spinal canal and cannot move freely. This causes traction on the spinal cord during growth or movement, which can trigger or worsen neurological symptoms. The condition may be congenital or occur in connection with other conditions such as spina bifida.
Since symptoms often develop gradually, early monitoring and intervention are particularly important.
- Muscle weakness or muscular imbalances: Uneven force distribution in the leg and trunk muscles impairs posture and movement.
- Progressive foot or leg misalignments: Muscular imbalances promote the development of axial deviations and foot deformities that can worsen with growth.
- Changes in gait pattern: Neurologically caused weakness leads to an insecure or abnormal gait.
- Back pain or sensory disturbances: Traction on the spinal cord can cause pain as well as numbness or altered sensation in the legs and feet.
The course is individual and depends strongly on the extent of the tethering and the stage of growth. Regular monitoring and adapted care are essential.
Orthopedic Care for Tethered Cord Syndrome
Orthopedic aids play an important role in minimizing the impact of tethered cord syndrome on movement and daily life.
- Compensating for muscular imbalances: Specifically fitted orthoses support weakened muscle groups and promote more even load distribution.
- Stabilizing feet and joints: Precisely fitted aids secure unstable structures and enable safer standing and walking.
- Preventing secondary misalignments: Early intervention counteracts the development of secondary deformities and protects against long-term damage.