Use of a machine learning algorithm with a focus on spinopelvic parameters to predict development of symptomatic tethered cord after initial untethering surgery.

Journal: Journal of neurosurgery. Pediatrics
Published Date:

Abstract

OBJECTIVE: Among patients with a history of prior lipomyelomeningocele repair, an association between increased lumbosacral angle (LSA) and cord retethering has been described. The authors sought to build a predictive algorithm to determine which complex tethered cord patients will develop the symptoms of spinal cord retethering after initial surgical repair with a focus on spinopelvic parameters.

Authors

  • Maria A Punchak
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Kamila M Bond
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Connor A Wathen
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Madison L Hollawell
    2Division of Neurosurgery, Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Chao Zhao
    Department of Hygienic Inspection, School of Public Health, Jilin University 1163 Xinmin Street Changchun 130021 Jilin China songxiuling@jlu.edu.cn li_juan@jlu.edu.cn jinmh@jlu.edu.cn +86 43185619441.
  • Christina Sarris
    2Division of Neurosurgery, Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
  • Tracy M Flanders
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Peter J Madsen
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Alexander M Tucker
    1Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania; and.
  • Gregory G Heuer
    Neurosurgery, Children's Hospital of Philadelphia.