Quality of Life of Children Treated for Split Cord Malformation

Abstract

PurposeSplit cord malformation (SCM), associated with neurological deficits, necessitates surgical intervention for spinal cord de-tethering. Limited evidence exists regarding its impact on children's quality of life. Our study aims to evaluate the postoperative quality of life in children treated for split cord malformation. MethodsThis retrospective cohort study examined records of patients with split cord malformation operated on between July 1, 2012, and July 31, 2022, at a single center. Data, including Health Utility Index-3 (HUI-3) scores provided by guardians, was collected to assess quality of life. Clinical and neurological outcomes were also analyzed. ResultsTwenty-five patients, predominantly females (68%), with a median age of 7 years, were included. Most presented with normal motor function (76%). The most common anatomic level of split cord malformation was lumbar (12 48%) followed by lumbosacral (5, 20%). A bony spur from the lamina was the most common cause of splitting the cord (64%). Over a median follow-up of 3.3 years, 64% showed neurological stability, 16% showed neurological improvement, and 4% experienced deterioration. The mean HUI-3 score for 21 children was 0.93 ± 0.24. ConclusionSurgical management of split cord malformation demonstrated favorable neurological outcomes and a positive long-term quality of life, as evidenced by HUI-3 scores. Our findings emphasize the efficacy of surgical intervention in improving the lives of children with this condition.