Introduction: Tethered spinal cord syndrome is a spinal cord malformation which causes neurological, urological and orthopaedic symptoms. This is due to the conus medullaris ending lower than normal. It is most commonly seen in children. Although studies have shown that intraoperative neuromonitoring (IN) reduces potential complications and provides safer surgery, its use remains controversial. In this study, we retrospectively evaluated the use of IN in patients who underwent surgery at our clinic.

Methods: The use of IN was examined in 31 patients operated on in our clinic between 2016 and 2023. Their age, gender, symptoms and preoperative neurological examinations were examined. While IN was used during surgery for 15 patients, it was not used for the remaining 16 patients. The neurological findings of the patients were evaluated after surgery.

Results: While a post-operative deficit was observed in one patient who did not use intra-nasal (IN) medication after surgery, no additional neurological deficits were observed in the other 30 patients after surgery.

Conclusions: Although the use of IN is recommended in the literature for patients with tethered spinal cord syndrome to prevent legal problems and reduce complications, based on the experience of the surgery centre, it was observed that not using IN did not affect the rate of post-operative complications.

Keywords: Gergin Omuriilik sendromu, intraoperatif nöromonitörizasyon, konus medullaris