Surgical Treatment of Thoracic Spinal Cord Herniation.

Publication Type	Case Report
Authors	Corredor J, Härtl R
Journal	Clin Spine Surg
Volume	29
Issue	10
Pagination	415-418
Date Published	12/01/2016
ISSN	2380-0194
Keywords	Hernia, Herniorrhaphy, Neurosurgical Procedures, Spinal Cord Diseases, Thoracic Vertebrae
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.
DOI	10.1097/BSD.0000000000000387
PubMed ID	27280784