Subfascial drainage and clipping technique for treatment of cerebrospinal fluid leak following spinal surgery
| Autor: | Sahin Hanalioglu, Suat Canbay, Cagri Elbir, Orkhan Mammadkhanli |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Leak medicine.medical_treatment Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Lumbar Cerebrospinal fluid Postoperative Complications medicine Humans Drainage Fascia External drainage Aged Retrospective Studies Aged 80 and over Cerebrospinal fluid leak Cerebrospinal Fluid Leak business.industry Neurodegenerative Diseases Clipping (medicine) Middle Aged medicine.disease Surgical Instruments Spinal surgery Surgery Fasciotomy Psychiatry and Mental health Treatment Outcome Female Original Article Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neurosciences |
| ISSN: | 1319-6138 |
| Popis: | Objective To investigate the treatment of iatrogenic cerebrospinal fluid (CSF) leak that develops after degenerative lumbar spinal surgery with a subfascial drainage and clipping (SDC) technique. Methods This study retrospectively reviewed the medical records of 46 patients who developed iatrogenic CSF leak after surgery for lumbar degenerative spine disease from 2007 to 2019. Twenty-five patients were treated with the SDC procedure (SDC group), whereas 21 were not (control group). Outcomes were compared between the two groups. Results CSF leakage ceased within 6-9 days (average 7.4+/-1) after the procedure in the SDC group. In the control group, CSF leakage was controlled with conservative measures in 14 patients, and in 7 patients, lumbar external drainage was performed. Among these 7, the CSF leak was controlled by lumbar external drainage in 3, and 4 required reoperation to repair the dural defect. No infection occurred in either group. Length of hospital stay was also shorter in SDC group (8.4+/-1 vs 10.0+/-1.3 days, p less than 0.001). Conclusion The SDC technique is effective for the treatment of iatrogenic CSF leak that develops after degenerative lumbar spinal surgery. |
| Databáze: | OpenAIRE |
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