Surgical technique for idiopathic spinal cord herniation: the Hammock method. Technical note.

Abstract:

:Idiopathic spinal cord herniation is a rare disease, and surgical treatment is recommended for patients with motor deficits or progressive neurological symptoms. Surgery is performed to release and reposition the tethered spinal cord. In terms of repositioning and prevention of reherniation, various procedures have been proposed; enlargement of the ventral dural defect, primary closure of the defect with sutures, and insertion of a ventral patch for duraplasty. We treated 3 patients with idiopathic spinal cord herniation, using a ventral patch for duraplasty with an expanded polytetrafluoroethylene pericardial membrane (the Hammock method), and all 3 cases had good clinical outcome. The specific important technical aspects are described and illustrated. If this procedure is performed meticulously under the microscope by following the specific techniques, the Hammock method is safer and more effective for prevention of reherniation than simple enlargement of the dural defect.

authors

Akutsu H,Takada T,Nakai K,Tsuda K,Sakane M,Aita I,Matsumura A

doi

10.2176/nmc.52.238

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

238-42

issue

4

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/52.238

journal_volume

52

pub_type

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