{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:20:48Z","timestamp":1783470048307,"version":"3.55.0"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,7,6]]},"abstract":"\n BACKGROUND<\/jats:title>\n Postoperative spinal cord herniation (SCH) is an exceptionally rare but serious delayed complication of cervical decompressive surgery, resulting from a dorsal dural defect associated with pseudomeningocele formation. The authors report the case of a 73-year-old man who developed quadriparesis 6 years after C3\u20136 laminoplasty for ossification of the posterior longitudinal ligament.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n MRI demonstrated dorsal herniation of the spinal cord through a dural defect into a cystic lesion consistent with a postoperative pseudomeningocele at C4. Reexploration via a posterior midline approach revealed a 3-mm dorsal dural defect with an entrapped spinal cord. Following adhesion dissection and reduction of the herniated cord, duraplasty using a collagen-based dural substitute was performed. Postoperative imaging confirmed successful cord repositioning. Neurological symptoms improved, and no recurrence was observed during the 7-month follow-up period.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Including this case, only 17 cases of postoperative SCH have been reported, most of which occurred after posterior cervical surgery with intraoperative dural injury or incomplete repair. The proposed mechanism involves gradual cord herniation and tethering through a postoperative dural defect under the influence of CSF pulsation and cervical motion. Early recognition and meticulous watertight dural reconstruction are crucial for favorable neurological recovery and the prevention of recurrence.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE26136<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case26136","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:17:12Z","timestamp":1782865032000},"source":"Crossref","is-referenced-by-count":0,"title":["Spinal cord herniation following cervical laminoplasty: illustrative case"],"prefix":"10.3171","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5364-9203","authenticated-orcid":true,"given":"Takayuki","family":"Nagase","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1898-4020","authenticated-orcid":true,"given":"Susumu","family":"Sasada","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Kurashiki Heisei Hospital, Kurashiki, Okayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Chinen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1243-9733","authenticated-orcid":true,"given":"Yasuaki","family":"Hirose","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyohei","family":"Kin","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shota","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"J Neurosurg","first-page":"131","article-title":"Herniation of the spinal cord. 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Spine (Phila Pa 1976). 1995;20(19):2147-2150. doi:10.1097\/00007632-199510000-00014"},{"issue":"2","key":"bib4","series-title":"Nagoya J Med Sci","first-page":"383","article-title":"Postoperative iatrogenic spinal cord herniation: three case reports with a literature review","volume":"82","author":"Nakashima","year":"2020","unstructured":"Nakashima HIshikawa YKato FPostoperative iatrogenic spinal cord herniation: three case reports with a literature review. Nagoya J Med Sci. 2020;82(2):383-389. doi:10.18999\/nagjms.82.2.383"},{"issue":"4","key":"bib5","series-title":"Spine J","first-page":"e1","article-title":"Spinal cord herniation after resection of cervical spinal neurofibroma with a unique presentation","volume":"15","author":"Abd Elwahab","year":"2015","unstructured":"Abd Elwahab SMO\u2019Sullivan MJ.Spinal cord herniation after resection of cervical spinal neurofibroma with a unique presentation. 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