title: Dorsal thoracic spinal cord herniation: report of an unusual case and review of the literature.
abstract: BACKGROUND
  Spinal cord herniation is a rare but well-documented condition that has been associated with tethering through the dural defect. Both spinal cord herniation and cord tethering result in progressive myelopathy that can be improved or stabilized with surgical intervention. Most cases of herniation are caused by dural defects in the ventral or ventrolateral thoracic spine, rarely occurring through the dorsal dura. This is the first reported case of a spontaneous dorsal herniation.
  
  
  OBJECTIVE
  To describe a unique case of thoracic tethered cord resulting from a dorsal dural defect through which there is spinal cord herniation.
  
  
  METHODS
  A case report and review of the literature.
  
  
  METHODS
  A 55-year-old man presented with progressive low back pain, paresthesias, and weakness in his left lower extremity that was exacerbated by walking. Imaging revealed a dorsal dural defect with tethering and herniation of the spinal cord at T7.
  
  
  RESULTS
  The patient underwent a T6-T7 laminoplasty to release the tethered cord and repair the dural defect. At 1-year follow-up, the patient noted improvement in strength and back spasticity.
  
  
  CONCLUSIONS
  Spinal cord herniation through a dural defect is an uncommon but important cause of symptomatic tethered cord in adults. Surgical intervention can significantly alter the course and prevent further disability.
authors.affiliation: Division of Neurosurgery, Duke University Medical Center, DUMC 3807, Durham, NC 27710, USA.
authors.forename: Tri C
authors.initials: TC
authors.lastname: Le
authors.forename: Betsy H
authors.initials: BH
authors.lastname: Grunch
authors.forename: Isaac O
authors.initials: IO
authors.lastname: Karikari
authors.forename: Ankit I
authors.initials: AI
authors.lastname: Mehta
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Owens
authors.forename: Oren N
authors.initials: ON
authors.lastname: Gottfried
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Bagley
mesh_terms: D006547:Hernia / Q000150:complications / Q000473:pathology*; D059685:Herniorrhaphy; D006801:Humans; D007796:Laminectomy / Q000379:methods; D017116:Low Back Pain / Q000209:etiology / Q000473:pathology; D008297:Male; D008588:Meningocele / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D013116:Spinal Cord / Q000473:pathology*; D013118:Spinal Cord Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome