Purpose

Tethered cord syndrome (TCS) is characterized by progressive spinal cord degeneration secondary to congenital spinal dysraphism. The associated accompanying physical inactivity and musculoskeletal deformities have raised interest in the growth profile of adult TCS patients. However, few previous studies have investigated the growth profile of adult TCS patients.

Methods

We retrospectively reviewed the demographic data and medical records of 20-year-old Korean conscription examinees who were registered between April 2004 and September 2019. In total, 151 examinees with a diagnosis of TCS were enrolled. The height, weight, and body mass index (BMI) of 300 randomly selected examinees were compared to the TCS group. Obesity was defined by the World Health Organization and Asian-Pacific criteria for BMI and compared between the groups. Growth profile differences according to tethering location and musculoskeletal deformities were analyzed in both groups.

Results

The mean height, weight, and BMI values of the TCS group were lower than those of the control group. The TCS group had a lower proportion of obese and overweight individuals, and a higher proportion of underweight individuals, according to both BMI criteria. The tethering level was not associated with the degree of obesity in the tethered group. The mean height, weight, and BMI were lower in the tethered group regardless of the existence of musculoskeletal deformity.

Conclusion

Enrollees with a history of TCS were smaller than controls of the same age. Monitoring of health behaviors, including nutrition, diet, and exercise, is warranted for TCS patients.

中文翻译：

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青年脊髓栓系综合征的生长曲线评估：韩国征兵数据的回顾性队列分析

目的

系绳综合征（TCS）的特征是继发于先天性脊柱发育不良的进行性脊髓变性。相关的伴随的身体不活动和肌肉骨骼畸形引起了成年TCS患者生长情况的兴趣。但是，以前的研究很少研究成年TCS患者的生长情况。

方法

我们回顾性研究了2004年4月至2019年9月之间登记的20岁韩国应征入伍者的人口统计数据和病历。总共招募了151名诊断为TCS的应征者。将300名随机选择的考生的身高，体重和体重指数（BMI）与TCS组进行比较。肥胖症由世界卫生组织和亚太地区的BMI标准定义，并在两组之间进行了比较。两组均根据拴系位置和肌肉骨骼畸形的生长情况差异进行了分析。

结果

TCS组的平均身高，体重和BMI值低于对照组。根据两个BMI标准，TCS组的肥胖和​​超重人群比例较低，而体重不足的比例较高。拴系水平与拴系组的肥胖程度无关。拴系组的平均身高，体重和BMI均较低，无论是否存在肌肉骨骼畸形。

结论

具有TCS历史的参与者比同年龄的对照组小。对于TCS患者，必须监测健康行为，包括营养，饮食和运动。