AI Article Synopsis

  • Idiopathic spinal cord herniation typically requires standard repair methods, which can sometimes lead to reherniation.
  • A new technique using the dentate ligament aims to prevent reherniation by securing the spinal cord during the repair process.
  • Early results in two patients showed improved mobility and reduced herniation, indicating that this new technique may lower reherniation risks effectively.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057549PMC
http://dx.doi.org/10.1093/ons/opx108DOI Listing

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