Tethered spinal cord can present with changes in which neurologic function?

• A. Changes in gait pattern
• B. Improved reflexes
• C. Increased sensation of touch globally
• D. Decreased alertness

Answer: (A)

Tethered spinal cord causes progressive traction on the spinal cord as a child grows, leading most often to motor changes in the legs. This traction disrupts how the muscles in the lower extremities function, so walking becomes abnormal—gait pattern changes such as weakness, spasticity, or an uneven stride are common presenting signs. That’s why changes in gait pattern are the best answer.

Other options don’t fit as well. Improved reflexes aren’t typical when the cord is under traction; in fact, reflex changes are more likely to be abnormal or decreased/degenerated. Sensory changes can occur, but global increased touch is not a characteristic presentation of tethered cord. Decreased alertness points to brain or systemic issues, not a spinal cord traction problem.