“…During the operation, release of the herniated part of the spinal cord and subsequent repositioning of the cord into the normal anatomic position is advocated as essential (10). To prevent reherniation/reincarceration of the spinal cord, enlargement of the ventral dura defect has been promoted by several authors (49,51,58,61,68,76,85,86). Others strongly advocate closure of the defect by direct suturing (15,34,42,86,89) or by insertion of a patch (8, 10, 17, 22, 24, 25, 43-45, 47, 48, 52, 53, 55, 56, 72, 78, 79).…”