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A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord

Progressive post-traumatic postsurgical myelopathy (PPPM) is a known entity that can occur months to years after the initial insult. Symptomatic patients can become myelopathic and have rapid and progressive neurological decline. Surgical correction of PPPM usually involves intradural exploration an...

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Detalles Bibliográficos
Autores principales: Cohen, Justin D, Ravinsky, Robert A, Khan, Monis A, Sossamon, Jake, Kim, Terrence, Woods, Kamal, Naruse, Robert, Batzdorf, Ulrich, Johnson, J. Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948511/
https://www.ncbi.nlm.nih.gov/pubmed/36843731
http://dx.doi.org/10.7759/cureus.34137
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author Cohen, Justin D
Ravinsky, Robert A
Khan, Monis A
Sossamon, Jake
Kim, Terrence
Woods, Kamal
Naruse, Robert
Batzdorf, Ulrich
Johnson, J. Patrick
author_facet Cohen, Justin D
Ravinsky, Robert A
Khan, Monis A
Sossamon, Jake
Kim, Terrence
Woods, Kamal
Naruse, Robert
Batzdorf, Ulrich
Johnson, J. Patrick
author_sort Cohen, Justin D
collection PubMed
description Progressive post-traumatic postsurgical myelopathy (PPPM) is a known entity that can occur months to years after the initial insult. Symptomatic patients can become myelopathic and have rapid and progressive neurological decline. Surgical correction of PPPM usually involves intradural exploration and lysis of adhesions that carries the risk of further injury to the spinal cord. In this manuscript, we provide a report of a patient presenting more than 50 years after the initial resection of an intramedullary tumor. Additionally, we present and describe a novel surgical technique for managing this difficult problem and restoring normal CSF dynamics.
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spelling pubmed-99485112023-02-24 A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord Cohen, Justin D Ravinsky, Robert A Khan, Monis A Sossamon, Jake Kim, Terrence Woods, Kamal Naruse, Robert Batzdorf, Ulrich Johnson, J. Patrick Cureus Neurosurgery Progressive post-traumatic postsurgical myelopathy (PPPM) is a known entity that can occur months to years after the initial insult. Symptomatic patients can become myelopathic and have rapid and progressive neurological decline. Surgical correction of PPPM usually involves intradural exploration and lysis of adhesions that carries the risk of further injury to the spinal cord. In this manuscript, we provide a report of a patient presenting more than 50 years after the initial resection of an intramedullary tumor. Additionally, we present and describe a novel surgical technique for managing this difficult problem and restoring normal CSF dynamics. Cureus 2023-01-24 /pmc/articles/PMC9948511/ /pubmed/36843731 http://dx.doi.org/10.7759/cureus.34137 Text en Copyright © 2023, Cohen et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Cohen, Justin D
Ravinsky, Robert A
Khan, Monis A
Sossamon, Jake
Kim, Terrence
Woods, Kamal
Naruse, Robert
Batzdorf, Ulrich
Johnson, J. Patrick
A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title_full A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title_fullStr A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title_full_unstemmed A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title_short A Novel Untethering and Duraplasty Technique for Postsurgical Tethered Spinal Cord
title_sort novel untethering and duraplasty technique for postsurgical tethered spinal cord
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948511/
https://www.ncbi.nlm.nih.gov/pubmed/36843731
http://dx.doi.org/10.7759/cureus.34137
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