What should be done about a child's spinal cord tethering and spinal dysraphism?

Patient's question:

When born, there was a 1x1.5 cm skin abnormality and indentation about 3 cm above the buttocks. An MRI was performed, and the results showed that the spinal cord tip is now at the upper edge of L4. The examination conclusion is: spinal cord tethering, vertebral crypt, and abnormal signals at the northern level of L5-S1 vertebra.

Doctor's answer:

Above the anus, near the coccyx, there can be a small pit, which is due to the complexity of human anatomy. It's not necessary for everyone to have the same appearance. I often see this in clinical practice. You don't need to worry. Hidden spinal dysraphism is not as frightening as you imagine. When treating adults over 45 with lower back pain, I often take an X-ray first, and sometimes this condition is discovered, while the patient was previously unaware and showed no abnormal symptoms. X-rays are absolutely not suitable for such young children.

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