Myelopexy: A novel technique in posttraumatic syringomyelia

Neurocirugia (Astur : Engl Ed). 2020 Dec 11:S1130-1473(20)30129-9. doi: 10.1016/j.neucir.2020.10.003. Online ahead of print.
[Article in English, Spanish]

Abstract

Posttraumatic syringomyelia (PTS) is a well-reported phenomenon that usually takes place in the long-term course of patients following spinal cord injury. Different surgical procedures have been described: spinal cordectomy is usually a last option technique, but might be an excellent choice in patients with severe spinal cord injuries. We present a young patient with complete spinal cord injury after spine trauma, who developed posttraumatic syringomyelia with progressive motor deterioration twelve years after fixation. We performed a novel surgical technique (myelopexy) with excellent resolution of syringomyelia, sparing the negative implications of complete cord transection. Some artistic illustrations made by one of the corresponding authors are included, to better understanding of operative details.

Keywords: Cordectomy; Cordectomía; Lesión de la médula espinal; Mielotomía; Myelotomy; Siringomielia; Spinal cord injury; Spine trauma; Syringomyelia; Traumatismo de columna vertebral.

Publication types

  • Case Reports