Surgical Treatment of Thoracic Spinal Cord Herniation. uri icon

Overview

abstract

  • Thoracic spinal cord herniation (TSCH) is an unusual condition characterized by central displacement of the spinal cord through a dural defect, resulting in neurological impairment due to compression and vascular compromise. Different surgical techniques have been described to treat symptomatic patients with TSCH such as closure of the defect by primary sutures after reducing the spinal cord, widening the dural defect to prevent cord strangulation, or reducing the spinal cord and using a dural patch. Through a case presentation of a 62-year-old woman with TSCH, we describe step-by-step, a surgical technique for repair by reducing the spinal cord and using a dural patch. In our experience surgical reduction of the hernia will frequently improve the patient's symptoms and signs even in patients with longstanding deficits. The final objective of this surgical technique is to prevent recurrent herniation and progressive deficit.

publication date

  • December 1, 2016

Research

keywords

  • Hernia
  • Herniorrhaphy
  • Neurosurgical Procedures
  • Spinal Cord Diseases
  • Thoracic Vertebrae

Identity

Scopus Document Identifier

  • 85003000575

Digital Object Identifier (DOI)

  • 10.1097/BSD.0000000000000387

PubMed ID

  • 27280784

Additional Document Info

volume

  • 29

issue

  • 10