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Myelopexy: A novel technique in posttraumatic syringomyelia
Juan Casado Pellejero1, Javier Orduna Martínez1, Laura B López López1
1Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain.
Neurocirugia (English Edition)
|January 9, 2022
Summary
Posttraumatic syringomyelia (PTS) can cause motor decline after spinal cord injury. A novel myelopexy technique successfully treated PTS in a patient with severe spinal cord injury, avoiding cord transection.
Area of Science:
- Neurosurgery
- Spinal Cord Injury Research
- Neurology
Background:
- Posttraumatic syringomyelia (PTS) is a delayed complication following spinal cord injury (SCI).
- Surgical interventions for PTS vary, with spinal cordectomy often reserved for severe cases.
- Long-term sequelae of SCI require innovative treatment strategies.
Observation:
- A young patient with complete SCI experienced progressive motor deterioration 12 years post-trauma.
- The patient developed significant posttraumatic syringomyelia.
- Deterioration impacted motor function, necessitating intervention.
Findings:
- A novel surgical technique, myelopexy, was successfully employed.
- Myelopexy achieved excellent resolution of the syringomyelia.
- The technique preserved spinal cord integrity, avoiding transection.
Implications:
- Myelopexy offers a potentially less invasive alternative to spinal cordectomy for PTS.
- This approach may improve outcomes for patients with severe SCI and syringomyelia.
- Further research into myelopexy for PTS is warranted.
