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Related Experiment Video

Updated: Nov 13, 2025

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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Far Lateral Approach for Resection of Transverse Ligament Cyst.

Lattimore Madison Michael1, Vincent Nguyen1, Jaafar Basma1

  • 1Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States.

Journal of Neurological Surgery. Part B, Skull Base
|March 15, 2021
PubMed
Summary

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Operative neurosurgery (Hagerstown, Md.)·2025

A far lateral approach effectively treats transverse ligament cysts, relieving spinal cord compression. This microsurgical technique, aided by dentate ligament manipulation, offers significant postoperative neurological improvement.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Microsurgery

Background:

  • Transverse ligament cysts can cause spinal cord compression.
  • Surgical approaches to these ventral cysts require careful consideration of microsurgical anatomy.

Purpose of the Study:

  • To describe a far lateral approach for microsurgical resection of transverse ligament cysts.
  • To emphasize the relevant microsurgical anatomy and technique for this approach.

Main Methods:

  • A far lateral craniotomy in the lateral decubitus position was utilized.
  • Dural sutures facilitated retraction, and a stitch through the dentate ligament aided spinal cord rotation.
  • Cyst marsupialization relieved mass effect on the spinal cord.

Main Results:

Keywords:
craniotomycystdentate ligamentfar lateralmicrosurgeryneurosurgeryskull basetransverse ligament

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  • The patient experienced an uneventful hospital course and was discharged home.
  • Significant improvement in postoperative neurological strength was observed at short-term follow-up.

Conclusions:

  • The far lateral approach, combined with dentate ligament utilization, provides access to ventral cysts compressing the spinal cord.
  • A thorough understanding of microsurgical anatomy is crucial for safe and effective surgical outcomes in this region.