Primary tethered cord syndrome (PTCS) is a neurological disorder caused by the spinal cord being abnormally attached to the surrounding tissue. This attachment can cause the spinal cord to be stretched, leading to a variety of symptoms, including lower back pain, numbness, and weakness in the legs. In some cases, it can also lead to bladder and bowel dysfunction. Treatment for PTCS typically involves surgery to release the attachment and relieve the pressure on the spinal cord.

The most common symptoms of primary tethered cord syndrome include:

-Low back pain
-Pain in the legs
-Weakness in the legs
-Loss of sensation in the legs
-Bowel and bladder dysfunction
-Scoliosis
-Lipomas
-Dimpling of the skin on the lower back
-Tailbone pain
-Abnormal gait
-Tightness in the lower back
-Swelling in the lower back
-Abnormal curvature of the spine

Primary tethered cord syndrome is caused by a variety of genetic and structural abnormalities, including:

- Spinal dysraphism (abnormal development of the spinal cord)
- Meningomyelocele (a type of neural tube defect)
- Lipomyelomeningocele (a fatty mass attached to the spinal cord)
- Diastematomyelia (splitting of the spinal cord)
- Tethered cord syndrome (a condition in which the spinal cord is abnormally attached to the surrounding tissue)
- Spinal tumors
- Spinal trauma
- Spinal infections
- Spinal deformities (such as scoliosis)
- Spinal vascular malformations

The primary treatment for tethered cord syndrome is surgical release of the tethering. This involves making an incision in the lower back and cutting the tissue that is causing the tethering. Other treatments may include physical therapy, medications, and bracing. In some cases, a shunt may be placed to help reduce pressure on the spinal cord.

1. Spina bifida
2. Meningomyelocele
3. Lipomyelomeningocele
4. Diastematomyelia
5. Intradural lipoma
6. Intramedullary lipoma
7. Intraspinal cysts
8. Intra-abdominal cysts
9. Abnormal spinal cord development
10. Abnormal spinal cord tethering
11. Abnormal spinal cord anatomy
12. Abnormal spinal cord positioning
13. Abnormal spinal cord adhesions
14. Abnormal spinal cord tethering
15. Abnormal spinal cord tethering to the vertebral column
16. Abnormal spinal cord tethering to the filum terminale
17. Abnormal spinal cord tethering to the dura mater
18. Abnormal spinal cord

At this time, there is no cure for primary tethered cord syndrome. However, there are treatments available to help manage the symptoms. These treatments may include medications to reduce pain, physical therapy to improve mobility, and surgery to release the tethering.