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Vol. 33. Issue 1.
Pages 35-39 (January - February 2022)
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Vol. 33. Issue 1.
Pages 35-39 (January - February 2022)
Case Report
Myelopexy: A novel technique in posttraumatic syringomyelia
Mielopexia: una técnica novedosa para la siringomielia postraumática
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Juan Casado Pellejero,
Corresponding author
jcasadopellejero@gmail.com

Corresponding author.
, Javier Orduna Martínez, Laura B. López López, David Fustero de Miguel
Department of Neurosurgery, University Hospital Miguel Servet, Zaragoza, Spain
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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:
Syringomyelia
Cordectomy
Myelotomy
Spine trauma
Spinal cord injury
Resumen

La siringomielia postraumática (SPT) es un fenómeno bien documentado, que suele ocurrir en la recuperación a largo plazo de los pacientes después de una lesión de la médula espinal. Se han descrito diferentes procedimientos quirúrgicos: la cordectomía de la médula espinal es generalmente una técnica que se considera como última opción, pero podría ser una excelente elección para pacientes con lesiones graves en dicha zona.

Presentamos el caso de un paciente joven con una lesión completa de la médula espinal después de un traumatismo de la columna vertebral, que desarrolló una siringomielia postraumática con un deterioro motor progresivo 12 años después de la fijación. Aplicamos una novedosa técnica quirúrgica (mielopexia) con una excelente resolución de la siringomielia, evitando las implicaciones negativas de la transección completa de la médula. Se incluyen algunas ilustraciones realizadas por uno de los autores para una mejor comprensión de los detalles de la intervención quirúrgica.

Palabras clave:
Siringomielia
Cordectomía
Mielotomía
Traumatismo de columna vertebral
Lesión de la médula espinal

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