Cargando…

Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst

Spinal dural meningoceles and diverticula are meningeal cysts that have a myriad of clinical presentations and sequelae, secondary to local mass effect. Our objective is to report a technical case report, illustrating a traumatic spinal injury with multiple pedicle fractures, secondary to atrophic l...

Descripción completa

Detalles Bibliográficos
Autores principales: Yanni, Daniel S., Mammis, Antonios, Thaker, Nikhil G., Goldstein, Ira M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192513/
https://www.ncbi.nlm.nih.gov/pubmed/22022654
http://dx.doi.org/10.4103/2006-8808.78472
_version_ 1782213761214447616
author Yanni, Daniel S.
Mammis, Antonios
Thaker, Nikhil G.
Goldstein, Ira M.
author_facet Yanni, Daniel S.
Mammis, Antonios
Thaker, Nikhil G.
Goldstein, Ira M.
author_sort Yanni, Daniel S.
collection PubMed
description Spinal dural meningoceles and diverticula are meningeal cysts that have a myriad of clinical presentations and sequelae, secondary to local mass effect. Our objective is to report a technical case report, illustrating a traumatic spinal injury with multiple pedicle fractures, secondary to atrophic lumbar pedicles as well as the diagnostic workup and surgical management of this problem. Posterior lumbar decompression, resection of the meningeal cyst, ligation of the cyst ostium, instrumentation, and fusion were performed with the assistance of intraoperative isocentric fluoroscopy. The cyst's point of communication was successfully located with intraoperative fluoroscopy and the lesion was successfully excised. We suggest that patients with traumatic spinal injuries, having evidence of pre-existing anomalous bony architecture, undergo advanced imaging studies, to rule out intraspinal pathology. The positive clinical and radiographic results support the removal and closure of the pre-existing meningeal cyst at the time of treatment of traumatic spinal injury. Intraoperative isocentric fluoroscopy is a helpful tool in the operative management of these lesions.
format Online
Article
Text
id pubmed-3192513
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-31925132011-10-21 Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst Yanni, Daniel S. Mammis, Antonios Thaker, Nikhil G. Goldstein, Ira M. J Surg Tech Case Rep Case Report Spinal dural meningoceles and diverticula are meningeal cysts that have a myriad of clinical presentations and sequelae, secondary to local mass effect. Our objective is to report a technical case report, illustrating a traumatic spinal injury with multiple pedicle fractures, secondary to atrophic lumbar pedicles as well as the diagnostic workup and surgical management of this problem. Posterior lumbar decompression, resection of the meningeal cyst, ligation of the cyst ostium, instrumentation, and fusion were performed with the assistance of intraoperative isocentric fluoroscopy. The cyst's point of communication was successfully located with intraoperative fluoroscopy and the lesion was successfully excised. We suggest that patients with traumatic spinal injuries, having evidence of pre-existing anomalous bony architecture, undergo advanced imaging studies, to rule out intraspinal pathology. The positive clinical and radiographic results support the removal and closure of the pre-existing meningeal cyst at the time of treatment of traumatic spinal injury. Intraoperative isocentric fluoroscopy is a helpful tool in the operative management of these lesions. Medknow Publications 2011 /pmc/articles/PMC3192513/ /pubmed/22022654 http://dx.doi.org/10.4103/2006-8808.78472 Text en © Journal of Surgical Technique and Case Report http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yanni, Daniel S.
Mammis, Antonios
Thaker, Nikhil G.
Goldstein, Ira M.
Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title_full Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title_fullStr Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title_full_unstemmed Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title_short Traumatic Fracture of Thin Pedicles Secondary to Extradural Meningeal Cyst
title_sort traumatic fracture of thin pedicles secondary to extradural meningeal cyst
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192513/
https://www.ncbi.nlm.nih.gov/pubmed/22022654
http://dx.doi.org/10.4103/2006-8808.78472
work_keys_str_mv AT yannidaniels traumaticfractureofthinpediclessecondarytoextraduralmeningealcyst
AT mammisantonios traumaticfractureofthinpediclessecondarytoextraduralmeningealcyst
AT thakernikhilg traumaticfractureofthinpediclessecondarytoextraduralmeningealcyst
AT goldsteiniram traumaticfractureofthinpediclessecondarytoextraduralmeningealcyst