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Intraoperative video of a left-sided transpedicular approach to the T3-4 disk space. The dura is opened laterally and the spinal cord mobilized to visualize the ventral herniation. Upon identifying the dural defect, the opening is lengthened sharply both superiorly and inferiorly and then packed with dural substitute. The spinal cord demonstrates good reduction at the end of the procedure. This video has been taken from Surgical Management of a Patient with Thoracic Spinal Cord Herniation: Technical Case Report and Review, an article appearing in a future issue of Neurosurgery. It was submitted by corresponding author Nicholas Theodore, MD, from the Barrow Neurological Institute at St. Joseph’s Hospital and Medical Center in Phoenix, Arizona.
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