Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation

被引：7

作者：

Lui, Jonathan ^{[1
]}

Sayal, Parag ^{[2
]}

Choi, David ^{[2
]}

机构：

[1] UCL, London, England

[2] Natl Hosp Neurol & Neurosurg, Dept Neurosurg, Queen Sq, London WC1N 3BG, England

来源：

OPERATIVE NEUROSURGERY | 2018年 / 14卷 / 03期

基金：

英国惠康基金;

关键词：

Dentate ligament; Dura; Herniation; Hitch stitch; Spinal cord; OF-THE-LITERATURE; SURGICAL-MANAGEMENT; DEFECT;

D O I：

10.1093/ons/opx108

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Idiopathic spinal cord herniation is usually repaired by releasing the spinal cord and inserting a dural patch to close the herniated segment of dura. However, reherniation is a potential limitation of this standard technique. OBJECTIVE: To describe early results of a novel technique that utilizes the dentate ligament to hitch the spinal cord and prevent reherniation. METHODS: Two patients underwent dural hernia repair and the dentate hitch technique was performed. RESULTS: Restored lower limb power and mobility, and satisfactory reduction of spinal cord herniation on magnetic resonance imaging in 2 patients at 6- and 24-mo follow-ups, respectively. CONCLUSION: The dentate hitch technique can achieve repair of spinal cord herniation, with satisfactory postoperative results and minimizes the risk of reherniation.

引用

页码：252 / 257

页数：6

共 21 条

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[2]

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