Dr. Bex

And I wanna make a point that there's something we call consensus. When we like review articles or look back at studies that are done, one of the things we talk about is standard of care or consensus. It's not always that the American Association of Neurosurgeons came out and said, this is the gold standard for this condition.

And I wanna make a point that there's something we call consensus. When we like review articles or look back at studies that are done, one of the things we talk about is standard of care or consensus. It's not always that the American Association of Neurosurgeons came out and said, this is the gold standard for this condition.

But if you asked a bunch of neurosurgeons who are practicing standard of care medicine to They would agree that this is a procedure or that this is the standard. And so it hasn't gotten to the point that maybe it's actually officially become a guideline, but it is something that is agreed upon based on knowledge, based on research, based on what is out there in the literature.

But if you asked a bunch of neurosurgeons who are practicing standard of care medicine to They would agree that this is a procedure or that this is the standard. And so it hasn't gotten to the point that maybe it's actually officially become a guideline, but it is something that is agreed upon based on knowledge, based on research, based on what is out there in the literature.

But if you asked a bunch of neurosurgeons who are practicing standard of care medicine to They would agree that this is a procedure or that this is the standard. And so it hasn't gotten to the point that maybe it's actually officially become a guideline, but it is something that is agreed upon based on knowledge, based on research, based on what is out there in the literature.

that this would be something that is there. And that's what's missing, that true like consensus or guideline on this connection. Got it.

that this would be something that is there. And that's what's missing, that true like consensus or guideline on this connection. Got it.

that this would be something that is there. And that's what's missing, that true like consensus or guideline on this connection. Got it.

So a tethered cord refers to at the end of our spinal cord. It's kind of weird to think about, but the little the nerves at the end of our spinal cord called the conus or that lowest point or the phylum terminology is another term that you'll hear used. It's free floating in our spinal fluid.

So a tethered cord refers to at the end of our spinal cord. It's kind of weird to think about, but the little the nerves at the end of our spinal cord called the conus or that lowest point or the phylum terminology is another term that you'll hear used. It's free floating in our spinal fluid.

So a tethered cord refers to at the end of our spinal cord. It's kind of weird to think about, but the little the nerves at the end of our spinal cord called the conus or that lowest point or the phylum terminology is another term that you'll hear used. It's free floating in our spinal fluid.

So like if you watch it on dynamic imaging, the little nerves at the bottom of your spinal cord are kind of floating in your spinal fluid. So the concept is a tethered cord is where those nerves, instead of being kind of allowed to free float and send off their signals, they can actually tether or attach to the side of the spinal canal itself.

So like if you watch it on dynamic imaging, the little nerves at the bottom of your spinal cord are kind of floating in your spinal fluid. So the concept is a tethered cord is where those nerves, instead of being kind of allowed to free float and send off their signals, they can actually tether or attach to the side of the spinal canal itself.

So like if you watch it on dynamic imaging, the little nerves at the bottom of your spinal cord are kind of floating in your spinal fluid. So the concept is a tethered cord is where those nerves, instead of being kind of allowed to free float and send off their signals, they can actually tether or attach to the side of the spinal canal itself.

So what we think of most cases is primary tethered cord, meaning a child who is born with a tethered cord. And that is usually associated with other things like spina bifida, which my cousin suffers from. So I know a lot about it just from my family. And he also had a tethered cord or tethered.

So what we think of most cases is primary tethered cord, meaning a child who is born with a tethered cord. And that is usually associated with other things like spina bifida, which my cousin suffers from. So I know a lot about it just from my family. And he also had a tethered cord or tethered.

So what we think of most cases is primary tethered cord, meaning a child who is born with a tethered cord. And that is usually associated with other things like spina bifida, which my cousin suffers from. So I know a lot about it just from my family. And he also had a tethered cord or tethered.

Kids who are born where that phylum is thick for some reason, meaning it's got like extra tissue or it's thickened or it's more fatty. And that obviously doesn't allow those nerves to float around as much as they want to or can. And then also something called a sinus tract where there's actually things don't close up like they're supposed to. And so there's openings where they shouldn't be.

Kids who are born where that phylum is thick for some reason, meaning it's got like extra tissue or it's thickened or it's more fatty. And that obviously doesn't allow those nerves to float around as much as they want to or can. And then also something called a sinus tract where there's actually things don't close up like they're supposed to. And so there's openings where they shouldn't be.

Kids who are born where that phylum is thick for some reason, meaning it's got like extra tissue or it's thickened or it's more fatty. And that obviously doesn't allow those nerves to float around as much as they want to or can. And then also something called a sinus tract where there's actually things don't close up like they're supposed to. And so there's openings where they shouldn't be.