1. Anterior spinal cord herniation after multilevel anterior cervical corpectomy: A case report
- Author
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Zahir Kizilay, Ozgur Ismailoglu, Ali Yilmaz, and Mehmet Erdal Coskun
- Subjects
Male ,orthopedic surgery ,medicine.medical_treatment ,neck pain ,Ossification of Posterior Longitudinal Ligament ,computer assisted tomography ,cervical vertebra ,spine surgery ,0302 clinical medicine ,Spondylotic myelopathy ,middle aged ,neurologic examination ,Posterior longitudinal ligament ,spinal cord disease ,spinal cord hernia ,postoperative complication ,Orthopedic Procedures ,030212 general & internal medicine ,Corpectomy ,nuclear magnetic resonance imaging ,Intraoperative Complications ,cervical spondylotic myelopathy ,ligament calcinosis ,adult ,prednisolone ,Ossified posterior longitudinal ligament resection ,Cervical anterior multilevel corpectomy ,Anterior surgery ,medicine.anatomical_structure ,Cervical Vertebrae ,quadriplegia ,Cervical Vertebrae/surgery ,Humans ,Intraoperative Complications/*surgery ,Middle Aged ,Orthopedic Procedures/*adverse effects/methods ,Ossification of Posterior Longitudinal Ligament/*surgery ,Spinal Cord Diseases/*etiology ,medicine.medical_specialty ,Article ,Spinal Cord Diseases ,Resection ,03 medical and health sciences ,anterior cervical corpectomy ,medicine ,case report ,human ,procedures ,coughing ,business.industry ,Spinal cord herniation ,Spinal cord ,Surgery ,Cerebrospinal fluid leakage ,adverse effects ,Neurology (clinical) ,Anterior approach ,Complication ,business ,030217 neurology & neurosurgery ,chronic obstructive lung disease - Abstract
Many complications related to the resection of an ossified posterior longitudinal ligament via the anterior approach have been reported. Postoperative neurological deterioration is one such complication that may appear due to massive anterior spinal cord herniation related to a dural defect following resection of the ossified posterior longitudinal ligament. Specifically, spinal cord herniations have been reported to be associated with posterior approaches, and a large number of theories regarding this association have been offered by various authors. However, anterior spinal cord herniation is extremely rare, and its pathophysiology has not yet been explained. In this case report, we report a male patient who experienced anterior spinal cord herniation following anterior surgery. Spinal cord herniation may develop following the removal of the anterior cervical corpectomy. Therefore, surgeons should be aware of this condition when planning treatments for cervical spondylotic myelopathy via the anterior approach. © 2016 Polish Neurological Society.
- Published
- 2016