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
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