case_images: PMC4040027_01
case_images: (a) Photograph demonstrating the SCM with ACC in our patient. (b) Schematic drawing showing the lesion. (c) P-A spinal x-ray demonstrating the laminae defects in the lumbo-sacral region (1: Bony spur, 2: Fibrous band, 3: Split spinal cord)
case_images: JPN-9-27-g001.jpg
case_images: PMC4040027_01_JPN-9-27-g001.jpg
case_images: F1
case_images: Underneath nerve tissue of the spinal cord was split by a perpendicular bony spur and connected from its tip to the upper lamina [Figure 1a and b]. Spinal X-rays showed a bony spur on the L2 vertebral column and laminar defect in the lumbo-sacral area [Figure 1c].
case_images: (a) Split spinal cord is dissected from the bony spur. (b) Fibrous band is cut from the attachment site in the upper lamina
case_images: JPN-9-27-g002.jpg
case_images: PMC4040027_01_JPN-9-27-g002.jpg
case_images: F2
case_images: The spur was seen extending from the posterior border of the vertebral body and penetrating the anterior dura [Figure 2a]. Fibrous attachment between the bony spur and the upper lamina was resected [Figure 2b].
case_images: (a) Bony spur is resected from its base to expose the opening of the anterior dura. (b) Anterior dura is sutured. (c) Right spinal roots are exposed
case_images: JPN-9-27-g003.jpg
case_images: PMC4040027_01_JPN-9-27-g003.jpg
case_images: F3
case_images: The bony spur is then resected from its base to expose the opened anterior dura of the spine [Figure 3a]. The anterior dura was sutured [Figure 3b], and the spinal roots were demonstrated [Figure 3c].