open access

Vol 50, No 3 (2016)
Case reports
Submitted: 2015-08-24
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Anterior spinal cord herniation after multilevel anterior cervical corpectomy: A case report

Zahir Kizilay, Ali Yilmaz, Ozgur Ismailoglu, Mehmet Erdal Coskun
DOI: 10.1016/j.pjnns.2015.11.009
·
Neurol Neurochir Pol 2016;50(3):190-194.

open access

Vol 50, No 3 (2016)
Case reports
Submitted: 2015-08-24

Abstract

Many complications related to the resection of an ossified posterior longitudinal ligament via the anterior approach have been reported. Postoperative neurological deterioration is one such complication that may appear due to massive anterior spinal cord herniation related to a dural defect following resection of the ossified posterior longitudinal ligament. Specifically, spinal cord herniations have been reported to be associated with posterior approaches, and a large number of theories regarding this association have been offered by various authors. However, anterior spinal cord herniation is extremely rare, and its pathophysiology has not yet been explained. In this case report, we report a male patient who experienced anterior spinal cord herniation following anterior surgery. Spinal cord herniation may develop following the removal of the anterior cervical corpectomy. Therefore, surgeons should be aware of this condition when planning treatments for cervical spondylotic myelopathy via the anterior approach.

Abstract

Many complications related to the resection of an ossified posterior longitudinal ligament via the anterior approach have been reported. Postoperative neurological deterioration is one such complication that may appear due to massive anterior spinal cord herniation related to a dural defect following resection of the ossified posterior longitudinal ligament. Specifically, spinal cord herniations have been reported to be associated with posterior approaches, and a large number of theories regarding this association have been offered by various authors. However, anterior spinal cord herniation is extremely rare, and its pathophysiology has not yet been explained. In this case report, we report a male patient who experienced anterior spinal cord herniation following anterior surgery. Spinal cord herniation may develop following the removal of the anterior cervical corpectomy. Therefore, surgeons should be aware of this condition when planning treatments for cervical spondylotic myelopathy via the anterior approach.

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Keywords

OPLL, CSF, SCH, MR, COPD

About this article
Title

Anterior spinal cord herniation after multilevel anterior cervical corpectomy: A case report

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 50, No 3 (2016)

Pages

190-194

DOI

10.1016/j.pjnns.2015.11.009

Bibliographic record

Neurol Neurochir Pol 2016;50(3):190-194.

Keywords

OPLL
CSF
SCH
MR
COPD

Authors

Zahir Kizilay
Ali Yilmaz
Ozgur Ismailoglu
Mehmet Erdal Coskun

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