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
收藏
页码：252 / 257
页数：6
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