Fracture of the Floor of the Anterior Cranial Fossa and the Sella Turcica, and Successful Repair of the Cerebrospinal Fluid Fistula with Fibrin Glue

Suzuki, Ryuta; Ohno, Kikuo; Inaba, Yutaka

doi:10.2176/nmc.26.420

Cited by 1 publication

(1 citation statement)

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“…Despite advancements in surgical techniques for thoracic OPLL, favorable results are not always achieved. In patients with thoracic myelopathy resulting from thoracic OPLL, removal of the ossified PLL is the most effective method of relieving pressure on the spinal cord [ 7 11 12 13 14 15 ]. A surgical technique for OPLL of the thoracic spine which was removed by floating method has been described [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Posterior Trans-Dural Repair of Iatrogenic Spinal Cord Herniation after Resection of Ossification of Posterior Longitudinal Ligament

Hyun

Kim

et al. 2016

Asian Spine J

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Iatrogenic spinal cord herniation is a rare complication following spinal surgery. We introduce a posterior trans-dural repair technique used in a case of thoracic spinal cord herniation through a ventral dural defect following resection of ossification of the posterior longitudinal ligament (OPLL) in the cervicothoracic spine. A 51-year-old female was suffering from paraplegia after laminectomy alone for cervicothoracic OPLL. Magnetic resonance imaging revealed a severely compressed spinal cord with pseudomeningocele identified postoperatively. Cerebrospinal fluid leak and iatrogenic spinal cord herniation persisted despite several operations with duroplasty and sealing agent. Finally, the problems were treated by repair of the ventral dural defect with posterior trans-dural duroplasty. Several months after surgery, the patient could walk independently. This surgical technique can be applied to treat ventral dural defect and spinal cord herniation.

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