What is the relationship between hidden laminae fissure, spinal cord tethering, and pediatric enuresis?

Patient's question:

To have enuresis, bedwetting. Also accompanied by poor appetite for dinner and not gaining weight. Since birth until now, past treatment history and effectiveness: November 27, 2009, hospital conducted a thorough examination, X-ray confirmed as hidden vertebral plate fissure. Chinese medicine used Shuyuan capsules, Xingspi Yang'er Granules to regulate and treat enuresis. The effect is yet to be observed. What kind of assistance is needed: After reading relevant articles, I don't understand the relationship between hidden vertebral plate fissure, spinal cord tethering, and pediatric enuresis.

Doctor's answer:

There may be a small number of patients who experience urinary dysfunction again during the transformation process, with mild limb weakness and sensory abnormalities. This is because fibrosis, fat, or fibrous tissue at the spinal defect interferes with the spinal nerves, leading to lower limb weakness, deformities, and coldness below the level of inflammation. Moreover, there is often dysfunction in both urination and defecation. Low back pain is also common. Currently, there is no effective treatment for this condition. Spinal cord tethering syndrome is commonly characterized by symptoms such as urinary retention, difficulty urinating, incontinence, frequent urination, and reduced volume per urination compared to normal.

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