Posterior Trans-Dural Repair of Iatrogenic Spinal Cord Herniation After Resection of Ossification of Posterior Longitudinal Ligament

Overview

Journal Asian Spine J

Date 2016 Apr 27

PMID 27114779

Authors

Seung-Jae Hyun

Hong-Ki Kim

Ki-Jeong Kim

Tae-Ahn Jahng

Hyun-Jib Kim

Affiliations

Soon will be listed here.

Abstract

Iatrogenic spinal cord herniation is a rare complication following spinal surgery. We introduce a posterior trans-dural repair technique used in a case of thoracic spinal cord herniation through a ventral dural defect following resection of ossification of the posterior longitudinal ligament (OPLL) in the cervicothoracic spine. A 51-year-old female was suffering from paraplegia after laminectomy alone for cervicothoracic OPLL. Magnetic resonance imaging revealed a severely compressed spinal cord with pseudomeningocele identified postoperatively. Cerebrospinal fluid leak and iatrogenic spinal cord herniation persisted despite several operations with duroplasty and sealing agent. Finally, the problems were treated by repair of the ventral dural defect with posterior trans-dural duroplasty. Several months after surgery, the patient could walk independently. This surgical technique can be applied to treat ventral dural defect and spinal cord herniation.

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