Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation. Issue 3 (9th May 2017)

• Record Type: Journal Article
• Authors: Lui, Jonathan; Sayal, Parag; Choi, David
• Is Part Of: Operative neurosurgery. Volume 14:Issue 3(2018)
• Page Start: 252
• Page End: 258
• Publication Date: 2017-05-09
• Subjects: Dentate ligament -- Dura -- Herniation -- Hitch stitch -- Spinal cord; Nervous system -- Surgery -- Periodicals; 617.480590
• DOI: 10.1093/ons/opx108
• Languages: English
• ISSNs: 2332-4252

Abstract

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.