What is the cross section of the terminal thread?

Filum terminale sectioning is a neurosurgical procedure used to treat locked spinal cord syndrome. This condition occurs when the terminal portion of the spinal cord (conus) is unable to move freely in the spinal canal due to fixation. This results in constant tension on the spinal cord, which can eventually cause serious neurological impairment. This procedure is minimally invasive, highly effective, and safe.

It is indicated in cases where the cause of conditions such as Arnold-Chiari malformation is a stretched spinal cord.

Surgery: procedure and results

The operation is performed under general anesthesia and usually lasts about 30 minutes.

Cross section of the final thread 1 Тернопіль

Stages of the operation:

Access: A small soft tissue incision is made in the lumbar region, followed by a small opening in the sacrum.
Identification. Using an intraoperative microscope, the surgeon locates the terminal filament. During the intervention, special microinstruments are used to cross the terminal filament. This relieves tension on the spinal cord.

Results:

As a result of the surgical intervention, we have the release of the spinal cord. The lowered brain structures of the posterior cranial fossa can shift to “their places”. Sufficient circulation of the cerebrospinal fluid (CSF) is restored, which can lead to regression of syringomyelia. The patient’s general well-being improves.

Warning: Confusion in terminology

This procedure should be distinguished from endometrial ablation , which is a completely different surgical procedure. Endometrial ablation, sometimes mistakenly called “terminal thread cutting,” is a gynecological procedure. In it, a doctor destroys (or removes) a thin layer of the endometrium, the lining of the uterus. It may be recommended for women who have heavy or prolonged periods, uterine fibroids, or other problems with the inner lining of the uterus.

This procedure can be performed using various methods: laser therapy, high-frequency or microwave therapy, as well as using chemicals. After it, the woman may experience discomfort, pain or light bleeding, but these symptoms usually disappear within a few days. Before undergoing any of these procedures, a doctor’s consultation is necessary.

Okay, here’s a list of sources for the article on terminal thread cutting and endometrial ablation. I’ve selected them to fit the two different topics that have been combined in the text.

Sources of information

About fixed spinal cord syndrome and terminal filament transection:
- Tethered Spinal Cord Syndrome. National Institute of Neurological Disorders and Stroke (NINDS). Available at: https://www.ninds.nih.gov/health-information/disorders/tethered-spinal-cord-syndrome
About Arnold-Chiari malformation:
- Chiari malformation and syringomyelia. The Mayo Clinic. Available at: https://www.mayoclinic.org/diseases-conditions/chiari-malformation/symptoms-causes/syc-20354010
About endometrial ablation:
- Endometrial ablation. The American College of Obstetricians and Gynecologists (ACOG). Available at: https://www.acog.org/womens-health/faqs/endometrial-ablation
On the relationship between fixed spinal cord syndrome and Chiari malformation:
- Surgical management of pediatric Chiari I malformation with concomitant tethered cord syndrome. The Journal of Neurosurgery: Pediatrics. Доступно за посиланням: https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/14/1/article-p25.xml

If you have any of the signs or symptoms mentioned in the article, we recommend that you make an appointment with a specialist.

Make an appointment with a doctor

Стаття написана: 22.01.2026

Стаття перевірена медичним спеціалістом: 23.01.2026

Автор статті: Леонтьєв Олексій

Усі напрямки категорії: Cross section of the final thread

How to get treatment Cross section of the final thread to a neurosurgeon in Ternopil?

If you need treatment from a neurosurgeon in Ternopil, you should follow these steps:

Contact your family doctor or specialist who can recommend a neurosurgeon in Ternopil.
Contact the nearest medical facility to receive a referral for a consultation with a neurosurgeon in Ternopil.
Make an appointment for a consultation with your chosen neurosurgeon in Ternopil. You can do this through the contact center of the medical institution, using the online appointment form on the hospital website, or directly contact the reception.
Prepare all necessary medical documentation, including test results, X-rays, and other tests. This will help the doctor better understand your condition and prescribe the necessary treatment.
During your consultation, your neurosurgeon will review your medical records, perform additional tests, and prescribe treatment based on your diagnosis. They will also give you advice on how to care for yourself during your treatment.

Where can you go Cross section of the final thread in Ternopil?

In Ternopil, there are several options where you can get help:

1. Ternopil Regional Clinical Hospital:

It has a neurosurgery department where qualified specialists can diagnose and treat developmental abnormalities of the nervous system.
The head of the neurosurgery department is Oleksiy Oleksandrovych Leontiev, an experienced neurosurgeon who has successfully performed many operations to treat developmental anomalies.
Contact information:
- Address: Ternopil, 14 Trolleybusna St.
- Phone: (073) 486 18 85 .

2. Private medical institutions:

There are also several private medical institutions in Ternopil that offer services for the diagnosis and treatment of developmental anomalies.
It is recommended to read reviews about these institutions and compare their prices before making a final choice.

Importantly:

Before contacting any medical facility, it is recommended to consult with your family doctor.
You must have all necessary medical documents with you, such as an outpatient card, test results, and examinations.

Cross section of the final thread 3 Тернопіль

The article was checked by a neurosurgeon of the highest category: LEONTIEV OLEKSII.

It is of general informational nature and does not replace specialist advice. For recommendations on diagnosis and treatment, a doctor’s consultation is required.

Address

14 Trolleybusna St., Ternopil

Phone

+38 067 301 33 03

Reception hours

Mon-Fri: 8:30 – 17:30

The importance of examination by a specialist

A neurosurgical examination is a significant procedure that helps identify various diseases of the brain and nervous system. Such procedures are a necessary step in determining the diagnosis and planning treatment.

A professional neurosurgeon is able to perform various types of examinations, such as MRI, CT, PET, and others, which allow obtaining detailed information about the structure and function of the brain. The examination may also include a neurological examination, cognitive function testing, and other methods of assessing the patient’s condition.

The importance of examination by a neurosurgeon is that it allows for timely detection of the disease and initiation of effective treatment. This determines not only the success of the patient’s recovery, but also the quality of his life in the future. Therefore, it is recommended to consult a qualified specialist and undergo all the necessary examinations.

Professional equipment for neurosurgery

Neurosurgery is a highly complex branch of medicine concerned with the surgical treatment of diseases and injuries of the brain and spinal cord. These procedures require precision down to the millimeter, as any imprecise movement can lead to serious consequences, such as neurological impairment and even death of the patient.

Therefore, the neurosurgical drape must be very precise and tailored to the specific needs of this procedure, as it provides protection against contamination, infection and excessive pressure on the head during surgery. A professional drape system helps the neurosurgeon work more efficiently and provides maximum protection for both the patient and the surgical team working on the operation.

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Advantages

When you consult a neurosurgeon, you can expect:

Skill in performing complex surgical operations on the brain and spinal cord, as well as on the nerves.
Caring for our patients, ensuring they have the most comfortable course of treatment.
Knowledge of the latest technologies and treatment methods, which are constantly being improved.
Neurosurgery gives a chance for a new life!