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Related Experiment Video

Updated: Feb 21, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Transdural Spinal Cord Herniation: Tips and Tricks.

Bernard Florian1, Le Fournier Luc1, Menei Philippe1

  • 1Department of Neurosurgery, Laboratory of Anatomy, Angers, France.

World Neurosurgery
|October 12, 2017
PubMed
Summary

Transdural spinal cord herniation, though increasingly recognized, causes diagnostic delays. Surgical untethering with a dura graft can improve outcomes for patients with lower-limb weakness.

Keywords:
SurgeryTransdural spinal cord herniation

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Area of Science:

  • Neurosurgery
  • Spinal Cord Imaging
  • Neurology

Background:

  • Transdural spinal cord herniation is an uncommon condition.
  • Delayed diagnosis impacts patient prognosis.
  • It is often overlooked in non-specialized clinical settings.

Observation:

  • Gradual-onset lower-limb weakness can indicate spinal cord compression.
  • Magnetic resonance imaging (MRI) is crucial for diagnosis.
  • Early surgical intervention is vital to prevent myelopathy progression.

Findings:

  • The study details surgical untethering of the spinal cord using a dura graft.
  • Three case reports and a literature review are presented.
  • This technique aims to decompress the spinal cord.

Implications:

  • Increased awareness can reduce diagnostic delays for transdural spinal cord herniation.
  • Prompt surgical referral improves outcomes for affected patients.
  • Dura grafting offers a potential surgical solution for spinal cord untethering.