{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:48:15Z","timestamp":1792198095572,"version":"4.4.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Welcome Trust","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Idiopathic spinal cord herniation is usually repaired by releasing the spinal cord and inserting a dural patch to close the herniated segment of dura. However, reherniation is a potential limitation of this standard technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To describe early results of a novel technique that utilizes the dentate ligament to hitch the spinal cord and prevent reherniation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Two patients underwent dural hernia repair and the dentate hitch technique was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Restored lower limb power and mobility, and satisfactory reduction of spinal cord herniation on magnetic resonance imaging in 2 patients at 6- and 24-mo follow-ups, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The dentate hitch technique can achieve repair of spinal cord herniation, with satisfactory postoperative results and minimizes the risk of reherniation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx108","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T11:54:07Z","timestamp":1494330847000},"page":"252-258","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Spinal Cord Suspension Using Dentate Ligament Hitch Stitches: A Novel Technique for the Repair of Ventral Spinal Cord Herniation"],"prefix":"10.1227","volume":"14","author":[{"given":"Jonathan","family":"Lui","sequence":"first","affiliation":[{"name":"University College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parag","family":"Sayal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,3]]},"reference":[{"issue":"8","key":"bib1-20240910","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.spinee.2016.01.182","article-title":"Cervical spinal cord herniation","volume":"16","author":"Goodwin","year":"2016","journal-title":"Spine J"},{"key":"bib2-20240910","doi-asserted-by":"crossref","first-page":"631","DOI":"10.3171\/jns.1974.41.5.0631","article-title":"Spontaneous incarcerated herniation of the spinal into a vertebral body: a unique cause of paraplegia: case report","volume":"41","author":"Wortzman","year":"1974","journal-title":"J Neurosurg"},{"key":"bib3-20240910","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1007\/s00701-016-2840-2","article-title":"Surgical management of thoracic idiopathic spinal cord herniation. 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