title: Transdural herniation of the thoracic spinal cord: untethering via a posterolateral transpedicular approach. Report of three cases.
abstract: Anterior spinal cord herniation is a well-documented condition in which the thoracic cord becomes tethered within a defect in the anterior dura mater. Typical procedures have involved a posterior approach with direct manipulation of the thoracic cord to expose and blindly release its point of tethering. The authors report three cases in which a novel approach for the treatment of anterior thoracic cord herniation was performed, cord manipulation and traction are minimized, and direct dural repair of the defect is performed.
authors.affiliation: Department of Neurosurgery, Georgetown University, Washington, DC 20007, USA.
authors.forename: Ryder
authors.initials: R
authors.lastname: Gwinn
authors.forename: Fraser
authors.initials: F
authors.lastname: Henderson
mesh_terms: D000792:Angiography; D004388:Dura Mater / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D059685:Herniorrhaphy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012021:Reflex, Abnormal / Q000502:physiology; D013118:Spinal Cord Diseases / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery