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Anterior spinal cord herniation after multilevel anterior cervical corpectomy: A case report
Affiliations- Adnan Menderes University Medicine Faculty, Neurosurgery Department, Aytepe-Aydin, Türkiye
- Suleyman Demirel University Medicine Faculty, Neurosurgery Department, Isparta, Türkiye
- Pamukkale University Medicine Faculty, Neurosurgery Department, Denizli, Türkiye
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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.
Keywords
OPLL, CSF, SCH, MR, COPD
About this articleTitle
Anterior spinal cord herniation after multilevel anterior cervical corpectomy: A case report
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
190-194
Page views
413
Article views/downloads
601
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
