OBJECT: @entity602 is a rare cause of progressive @entity602 and can be corrected surgically. In most previous reports, closure of the dural defect was the recommended procedure. The object of this paper is to describe a new procedure in which spinal cord constriction is released by enlarging the @entity357 ; additionally the postoperative results will be discussed. METHODS: In nine @entity1 with @entity602 , @entity1283 was performed. In eight @entity1 , @entity51 resolved immediately after surgery. In one @entity1 with a severe preoperative @entity51 whose spinal cord herniated massively, deterioration occurred postoperatively. To date, no recurrence of @entity3976 has been observed. CONCLUSIONS: The goals of surgery are to reduce the @entity3976 , return the spinal cord to the normal position, and prevent the recurrence of @entity3976 . The use of sutures to close the dural defect has been the method of choice to date. The surgical space in front of the spinal cord, however, is insufficient to accommodate this procedure safely. Because symptoms are caused by the constriction of the spinal cord at the @entity357 , surgical expansion of the @entity357 allows the goals of surgery to be achieved. This procedure, which is technically easier and less invasive with regard to the vulnerable spinal cord than the closure of the dural defect, could be a viable alternative for the treatment of this rare disease.

Surgical management of idiopathic @entity602 : a review of nine cases treated by the XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3976 :: ('MESH:D004677', 'Disease') :: ['herniation'] @entity1283 :: ('MESH:D006332', 'Disease') :: ['enlargement of the dural defect'] @entity602 :: ('MESH:D013118', 'Disease') :: ['myelopathy', 'Spinal cord herniation', 'spinal cord herniation'] @entity357 :: ('MESH:D006551', 'Disease') :: ['hiatus'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits', 'neurological deficit']
@entity1283 :: (MESH:D006332,Disease) :: ['enlargement of the dural defect']
