{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:37:28Z","timestamp":1704987448903},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nIncidental durotomy is a well-known complication of spinal surgery. It can lead to persistent cerebrospinal fluid leakage resulting in significant secondary complications. Here, we present a case in which the cauda equina herniated into a pseudomeningocele that penetrated a facet joint, leading to lower extremity radiculopathy warranting surgical correction.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nOne year ago, a 67-year-old male underwent a partial left L4-L5 laminectomy. At surgery, a durotomy was repaired with a nylon suture and reinforced with a fat patch. He subsequently presented with severe left lower extremity radiculopathy and a partial cauda equina syndrome. On MR, the cauda equina had herniated into a pseudomeningocele that penetrated the left facet joint. Once the defect was repaired at surgery, the patient\u2019s symptoms improved.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nIt is critical to correctly repair an intraoperative durotomy to avoid further neurological deficits that may include cauda equina herniation into pseudomeningoceles penetrating facet joints.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_893_2020","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T06:40:40Z","timestamp":1611124840000},"page":"30","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Herniation of the cauda equina into the facet joint through a pseudomeningocele: A case report and literature review"],"prefix":"10.25259","volume":"12","author":[{"given":"Jumpei","family":"Iida","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Noshiro Kosei Medical Center, Noshiro, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohisa","family":"Miyakoshi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Hondo, Akita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michio","family":"Hongo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Hondo, Akita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Noshiro Kosei Medical Center, Noshiro, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Noshiro Kosei Medical Center, Noshiro, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Kubota","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Noshiro Kosei Medical Center, Noshiro, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Noshiro Kosei Medical Center, Noshiro, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Shimada","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Hondo, Akita, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,1,20]]},"reference":[{"key":"10.25259\/SNI_893_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1671","DOI":"10.1007\/s00586-020-06401-y","article-title":"A systematic review and meta-analysis on the management of accidental dural tears in spinal surgery: Drowning in information but thirsty for a clear message","volume":"29","author":"Alshameeri","year":"2020","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_893_2020\/ref-2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3340\/jkns.2013.53.1.52","article-title":"Transdural nerve rootlet entrapment in the intervertebral disc space through minimal dural tear: Report of 4 cases","volume":"53","author":"Choi","year":"2013","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_893_2020\/ref-3","doi-asserted-by":"crossref","first-page":"103","DOI":"10.14245\/kjs.2017.14.3.103","article-title":"Incarceration of spinal nerve root through incidental durotomy as a cause of sciatica","volume":"14","author":"Kim","year":"2017","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_893_2020\/ref-4","doi-asserted-by":"crossref","first-page":"E1333","DOI":"10.1097\/BSD.0000000000000279","article-title":"Incidental durotomy in open versus tubular revision microdiscectomy: A retrospective controlled study on incidence, management, and outcome","volume":"30","author":"Kogias","year":"2017","journal-title":"Clin Spine Surg"},{"key":"10.25259\/SNI_893_2020\/ref-5","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1097\/00006123-200012000-00039","article-title":"Transdural cauda equina incarceration after microsurgical lumbar discectomy: Case report","volume":"47","author":"Kothbauer","year":"2000","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_893_2020\/ref-6","doi-asserted-by":"crossref","first-page":"30","DOI":"10.3171\/2012.3.SPINE11939","article-title":"Incidental durotomy after spinal surgery: A prospective study in an academic institution","volume":"17","author":"McMahon","year":"2012","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_893_2020\/ref-7","doi-asserted-by":"crossref","first-page":"2576","DOI":"10.1097\/00007632-199512000-00020","article-title":"Herniation 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