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Myelopexy: A novel technique in posttraumatic syringomyelia

Affiliation:	1. Department of Neurosurgery, University Hospital Complex of Vigo, Pontevedra, Spain;2. Neuroscience Research Group, Galicia Sur Health Research Institute, Vigo, Pontevedra, Spain;3. Department of Neurosurgery, Hospital Universitari Arnau de Vilanova, Lleida, Spain;1. Department of Neurosurgery, Hospital Universitario Marqués de Valdecilla, Santander, Spain;2. Department of Neurology, Hospital Universitario Marqués de Valdecilla, Santander, Spain;3. Department of Endocrinology, Hospital Universitario Marqués de Valdecilla, Santander, Spain;4. Department of Otorhinolaryngology, Hospital Universitario Marqués de Valdecilla, Santander, Spain;5. Department of Pathologic Anatomy, Hospital Universitario Marqués de Valdecilla, Santander, Spain;6. Department of Neurorradiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain;1. Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España;2. Servicio de Cirugía General, Hospital Universitario La Paz, Madrid, España;3. Neurofisiología Clínica, Servicio de Neurología, Hospital Universitario La Paz, Madrid, España;1. Department of Internal Medicine Division of Medical Oncology, Marmara University School of Medicine, Marmara University Pendik Education and Research Hospital, Istanbul, Turkey;2. Department of Neurosurgery, Marmara University School of Medicine, Istanbul, Turkey;3. Department of Pathology, Marmara University School of Medicine, Istanbul, Turkey;4. Department of Radiation Oncology, Marmara University School of Medicine, Istanbul, Turkey;1. Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi, Minamiku, Hiroshima, Japan;2. Department of Neurosurgery, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Aoyama-cho, Kureshi, Hiroshima, Japan;3. Department of Molecular Pathology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi, Minamiku, Hiroshima, Japan;4. Department of Diagnostic Pathology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, 3-1, Aoyama-cho, Kureshi, Hiroshima 737-0023, Japan

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 Siringomielia Cordectomía Mielotomía Traumatismo de columna vertebral Lesión de la médula espinal
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