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

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.

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Disclosures

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.