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Case Reports
. 2022 Feb;18(1):166-170.
doi: 10.1177/1556331621993063. Epub 2021 Feb 19.

Surgical Strategy to Protect the Exposed Spinal Cord From Extrinsic Compression in Severe Kyphosis: A Case Report

Bhavuk Garg  1 , Nishank Mehta  1 , Subrat Mohapatra  1
Affiliations
Case Reports

Surgical Strategy to Protect the Exposed Spinal Cord From Extrinsic Compression in Severe Kyphosis: A Case Report

Bhavuk Garg et al. HSS J. 2022 Feb.
No abstract available

Keywords: bailout; innovation; kyphosis; spinal cord; spine deformity; titanium mesh cage.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Fig. 1.
Fig. 1.
Preoperative clinical photographs of patient (a) taken from the back, (b) from the side, and (c) while the patient is bending forward.
Fig. 2.
Fig. 2.
Preoperative imaging showing a severe, focal congenital kyphosis: (a) posteroanterior radiograph, (b) lateral radiograph, and (c) noncontrast computed tomography scan image.
Fig. 3.
Fig. 3.
Low-lying tethered cord ending at L3 level seen on preoperative magnetic resonance imaging (T1-weighted).
Fig. 4.
Fig. 4.
Intraoperative photograph showing the exposed spinal cord uncovered by the laminectomy defect, protruding beyond the rods.
Fig. 5.
Fig. 5.
A protective cover fashioned from a titanium mesh cage, fixed to the near-proximal and near-distal screws around the rods using tension band wiring technique with stainless steel wire.
Fig. 6.
Fig. 6.
Postoperative clinical (a, b) photographs and (c, d) radiographs.
Fig. 7.
Fig. 7.
Intraoperative photograph of the usual alternative—using a cross-link connector over a laminectomy defect.
See this image and copyright information in PMC

References

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