The incidence of tethered cord syndrome after myelomenigocele (MMC) repair is higher in patients undergoing in utero than postnatally. However, a paucity of studies have described the details of untethering in children which MMC was corrected during fetal life. In this technical note, we describe the spinal cord untethering of a girl after MMC in utero repair, highlighting the main steps regarding the anatomic recognition as well as neurophysiological monitoring finding role.

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