Postmyelotomy closure of spinal cord - “Zip lock technique”: An initial experience

• Published in: World neurosurgery Vol. 100; pp. 261 - 266
• Main Authors: Singh, Daljit, Dr, Bodeliwala, Shaam, Dr, Singh, Hukum, Dr, Jagetia, Anita, Dr, Mittal, Amit, Dr
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2017
• Subjects: Adult; Dysesthesia; Feasibility Studies; Female; Humans; Intramedullary tumors; Male; Microsurgery - methods; Middle Aged; Neurosurgery; Neurosurgical Procedures - methods; Pia; Pia Mater - diagnostic imaging; Pia Mater - surgery; Pilot Projects; Spinal Cord - pathology; Spinal Cord - surgery; Spinal Cord Neoplasms - pathology; Spinal Cord Neoplasms - surgery; Treatment Outcome; Wound Closure Techniques; Zip lock; Zip-Lock; Intramedullary spinal cord tumors; Dysethesia; DCD; Magnetic resonance imaging; MRI; IMSCT; Pia; Dorsal column dysesthesia; Intramedullary Tumors; Dysesthesia; Intramedullary tumors; Zip lock
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2017.01.002

Abstract Proper closure of the pia matter is necessary to restore the normal anatomy and prevent postoperative painful dysesthesia after excision of intramedullary spinal cord tumor. Two methods of closure of the pia have been described: welding technique and conventional suturing. Here, we report our initial experience with a new “pial press” or “zip-lock” technique for pial closure where pial layers are simply held together and plunged into each other with small micro tooth forceps. Advantages of the technique over other techniques are its less chances of suture related complications or trauma to the posterior column and simplicity of the technique.