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

Lui, J; Sayal, P; Choi, D; (2017) Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation. Operative Neurosurgery , 14 (3) pp. 252-258. 10.1093/ons/opx108. Green open access

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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.

Type: Article
Title: Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/ons/opx108
Publisher version: https://doi.org/10.1093/ons/opx108
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Dentate ligament, Dura, Herniation, Hitch stitch, Spinal cord
URI: http://discovery.ucl.ac.uk/id/eprint/10045096
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