Surgical Treatment of Thoracic Spinal Cord Herniation.

TitleSurgical Treatment of Thoracic Spinal Cord Herniation.
Publication TypeJournal Article
Year of Publication2016
AuthorsCorredor JA, Härtl R
JournalClin Spine Surg
Date Published2016 12
KeywordsFemale, Hernia, Herniorrhaphy, Humans, Magnetic Resonance Imaging, Middle Aged, Neurosurgical Procedures, Spinal Cord Diseases, Thoracic Vertebrae

Thoracic spinal cord herniation (TSCH) is an unusual condition characterized by central displacement of the spinal cord through a dural defect, resulting in neurological impairment due to compression and vascular compromise. Different surgical techniques have been described to treat symptomatic patients with TSCH such as closure of the defect by primary sutures after reducing the spinal cord, widening the dural defect to prevent cord strangulation, or reducing the spinal cord and using a dural patch. Through a case presentation of a 62-year-old woman with TSCH, we describe step-by-step, a surgical technique for repair by reducing the spinal cord and using a dural patch. In our experience surgical reduction of the hernia will frequently improve the patient's symptoms and signs even in patients with longstanding deficits. The final objective of this surgical technique is to prevent recurrent herniation and progressive deficit.

Alternate JournalClin Spine Surg
PubMed ID27280784