Section Filum Terminale

Section of the filum terminale is often helpful as part of the surgical treatment of scoliosis syringomyelia and the chiari malformation.
Section filum terminale. Filum terminale assoc prof craig hacking and dr elena trajcevska et al. Section of the filum terminale is a useful strategy in the treatment of scoliosis syringomyelia and the chiari malformation and offers a new aetiological basis for the understanding of these three disorders. The filum terminale is a filament of connective tissue that extends inferiorly from the apex of the conus medullaris.
It is one of the modifications of pia mater. The filum terminale terminal thread is a delicate strand of fibrous tissue about 20 cm in length proceeding downward from the apex of the conus medullaris. They occur in 1 6 of the population and are usually an incidental finding 95 of those detected by mri are asymptomatic cools et al 2014.
The filum terminale fig 2 3 is a 2 mm thick and about 20 cm long filament that extends from the lower end of the conus medullaris until the dorsal side of the coccyx where it is fixed and remains in place. It is made up of fibrous tissue that continues with that of the pia mater and surrounded by the dura mater until its insertion at s2.