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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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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 |
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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 |
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