Repair of Thoracic Spinal Cord Herniation: 2-Dimensional Operative Video

Authors

Siri Sahib Khalsa, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
Yamaan S. Saadeh, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
Brandon W. Smith, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
Jacob R. Joseph, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
Mark E. Oppenlander, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.

Document Type

Article

Abstract

Spinal cord herniation is an uncommon surgically treatable cause of thoracic myelopathy and progressive paraplegia. The thoracic spinal cord focally protrudes through a defect in the dura, resulting in progressive weakness, numbness, and spasticity affecting the lower extremities, in addition to possible urinary symptoms. In this video, we present the case of a 69-yr-old female who presented with 3 yr of progressive thoracic myelopathy due to a thoracic spinal cord herniation at T4-T5. We demonstrate the surgical steps to lyse arachnoid webs, mobilize the spinal cord, reduce the spinal cord herniation, and repair the dural defect. Appropriate patient consent was obtained.

Publication Date

10-1-2019

Publication Title

Operative neurosurgery (Hagerstown, Md.)

E-ISSN

2332-4260

Volume

17

Issue

4

First Page

E161

PubMed ID

30649502

Digital Object Identifier (DOI)

10.1093/ons/opy409

Recommended Citation

Khalsa, Siri Sahib; Saadeh, Yamaan S.; Smith, Brandon W.; Joseph, Jacob R.; and Oppenlander, Mark E., "Repair of Thoracic Spinal Cord Herniation: 2-Dimensional Operative Video" (2019). Neurosurgery. 1641.
https://scholar.barrowneuro.org/neurosurgery/1641