Unilateral Paramedian Transpedicular Approach for Repair of Anterior Transdural Spinal Cord Herniation: Report of a Case and Literature Review.
- Author:
Manish K KASLIWAL
1
;
John E O'TOOLE
;
Harel DEUTSCH
Author Information
- Publication Type:Case Report
- Keywords: Spinal cord herniation; Surgery; Management; Thoracic spine
- MeSH: Laminectomy; Spinal Cord; Spinal Cord Diseases
- From:Asian Spine Journal 2012;6(1):55-59
- CountryRepublic of Korea
- Language:English
- Abstract: Idiopathic spinal cord herniation is a rare but potentially treatable cause of thoracic myelopathy. The rarity and variable clinical presentation often results in missed diagnosis and delay in treatment. Posterior midline approach with laminectomy has been the most common approach performed for spinal cord herniation in cases described in the literature. A posterior approach is limited by the danger of retracting the spinal cord and difficulty visualizing the dural defect. Considering the anterior location of the dural defect, a posterolateral allows for a more ventral view without spinal cord manipulation. We report a rare case of idiopathic spinal cord herniation which was managed by unilateral paramedian transpedicular approach with an excellent clinical outcome.
