Repair of Thoracic Spinal Cord Herniation: 2-Dimensional Operative Video
Khalsa, Siri Sahib S MD; Saadeh, Yamaan S MD; Smith, Brandon W MD; Joseph, Jacob R MD; Oppenlander, Mark E MD,
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan
Correspondence: Mark E. Oppenlander, MD, 1500 E. Medical Center Drive SPC 5338, Ann Arbor, MI 48109-5338. E-mail: [email protected]
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.
Dr Oppenlander is a consultant for Globus Medical. The other authors have no personal, financial, or institutional interest in any of the drugs, materials, or devices described in this article.
An excellent review of thoracic spinal cord herniation with beautifully illustrated technique videos.
Eric J. Woodard
Keywords:Copyright © 2019 by the Congress of Neurological Surgeons
Spinal cord herniation; Thoracic myelopathy; Arachnoid webs