Spinal cord herniation after multilevel anterior cervical corpectomy and fusion for ossification of the posterior longitudinal ligament of the cervical spine

被引：12

作者：

Min, Jun-Hong ^{[1
]}

Jung, Byung-Joo ^{[1
]}

Jang, Jee-Soo ^{[1
]}

Kim, Seok-Kang ^{[1
]}

Jung, Dae-Jin ^{[2
]}

Lee, Sang-Ho ^{[1
]}

机构：

[1] Seoul Wooridul Hosp, Dept Neurosurg, Seoul 157822, South Korea

[2] Wooridul Spine Hosp, Dept Neurosurg, Seoul, South Korea

来源：

JOURNAL OF NEUROSURGERY-SPINE | 2009年 / 10卷 / 03期

关键词：

cord herniation; double-layer sign; ossification of the posterior longitudinal ligament; SURGERY;

D O I：

10.3171/2008.12.SPINE08422

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report the case of a 52-year-old man who had undergone resection of an ossified posterior longitudinal ligament via the anterior approach. The patient experienced postoperative neurological deterioration that may have been caused by a massive cord herniation associated with a dural defect at the corpectomy site. Spinal cord herniation may develop as a complication of anterior cervical decompression. Surgeons should be alert to this condition when planning to treat cervical ossification of the ossified posterior longitudinal ligament via the anterior approach. (DOI: 10.3171/2008.12.SPINE08422)

引用

页码：240 / 243

页数：4

共 10 条

[1] IDIOPATHIC SPINAL-CORD HERNIATION - A TREATABLE CAUSE OF THE BROWN-SEQUARD SYNDROME - CASE-REPORT [J].

BORGES, LF ;

ZERVAS, NT ;

LEHRICH, JR .

NEUROSURGERY, 1995, 36 (05) :1028-1032

[2] THE SURGICAL-MANAGEMENT OF OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT IN 51 PATIENTS [J].

EPSTEIN, N .

JOURNAL OF SPINAL DISORDERS, 1993, 6 (05) :432-455

[3] Evaluation and treatment of clinical instability associated with pseudarthrosis after anterior cervical surgery for ossification of the posterior longitudinal ligament [J].

Epstein, NE .

SURGICAL NEUROLOGY, 1998, 49 (03) :246-252

[4] Anterior cervical micro-dural repair of cerebrospinal fluid fistula after surgery for ossification of the posterior longitudinal ligament - Technical note [J].

Epstein, NE ;

Hollingsworth, R .

SURGICAL NEUROLOGY, 1999, 52 (05) :511-514

[5] Identification of ossification of the posterior longitudinal ligament extending through the dura on preoperative computed tomographic examinations of the cervical spine [J].

Epstein, NE .

SPINE, 2001, 26 (02) :182-186

[6]

Hida Kazutoshi, 1997, Neurologia Medico-Chirurgica, V37, P173, DOI 10.2176/nmc.37.173

[7] HERNIATION OF THE SPINAL-CORD - CASE-REPORT [J].

KUMAR, R ;

TAHA, J ;

GREINER, AL .

JOURNAL OF NEUROSURGERY, 1995, 82 (01) :131-136

[8]

Min JH, 2007, J NEUROSURG-SPINE, V6, P309, DOI 10.3171/spi.2007.6.4.309

[9]

Mizuno J, 2001, Neurosurg Focus, V10, pE6

[10] Dural ossification associated with cervical ossification of the posterior longitudinal ligament: frequency of dural ossification and comparison of neuroimaging modalities in ability to identify the disease [J].

Mizuno, J ;

Nakagawa, H ;

Matsuo, N ;

Song, J .

JOURNAL OF NEUROSURGERY-SPINE, 2005, 2 (04) :425-430

← 1 →