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Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation.

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.

SUBMITTER: Lui J

PROVIDER: S-EPMC6057549 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation.

Lui Jonathan J Sayal Parag P Choi David D

Operative neurosurgery (Hagerstown, Md.) 20180301 3

<h4>Background</h4>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.<h4>Objective</h4>To describe early results of a novel technique that utilizes the dentate ligament to hitch the spinal cord and prevent reherniation.<h4>Methods</h4>Two patients underwent dural hernia repair and the dentate hitch technique was performed. ...[more]

PMID: 29462448

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