Causes traction damage to the spinal cord and serious neurological deficits.
Multiple forms of closed spinal dysraphism cause tethered cord syndrome, but we often think of this syndrome in its relationship to a tight filum terminale or a terminale lipoma [a thickening of the filum terminale due to residual caudal mass cells (of the conus medullaris)].
These scenarios make it easy to imagine the resultant traction on the cord.