Skip to main navigation Skip to main content
  • E-Submission
  • Contact us

NS : Neurospine

OPEN ACCESS
Search
Advanced Search
ABOUT
BROWSE ARTICLES
FOR CONTRIBUTORS

Page Path

8
results for

"Cerebrospinal fluid leak"

Article category

Publication year

More +

Keywords

More +

Authors

More +

Funded articles

More +

"Cerebrospinal fluid leak"

Original Articles

Regular Issue

Application of the “Klotski Technique” in Cervical Ossification of the Posterior Longitudinal Ligament With En Bloc Type Dura Ossification
Jian Guan, Kang Li, Chenghua Yuan, Wanru Duan, Kai Wang, Zhenlei Liu, Zuowei Wang, Xingwen Wang, Hao Wu, Fengzeng Jian, Zan Chen
Neurospine 2024;21(3):994-1003.   Published online September 30, 2024
DOI: https://doi.org/10.14245/ns.2448086.043

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Application of the “Klotski Technique” in Cervical Ossification of the Posterior Longitudinal Ligament With En Bloc Type Dura Ossification
Neurospine. 2024;21(3):994-1003.   Published online September 30, 2024
DOI: https://doi.org/10.14245/ns.2448086.043
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Application of the “Klotski Technique” in Cervical Ossification of the Posterior Longitudinal Ligament With En Bloc Type Dura Ossification
Neurospine. 2024;21(3):994-1003.   Published online September 30, 2024
DOI: https://doi.org/10.14245/ns.2448086.043
Close
Objective
The anterior controllable antedisplacement and fusion (ACAF) technique is a new procedure for the treatment of cervical ossification of the posterior longitudinal ligament (OPLL) that requires management of the disc adjacent to the ossification. This study describes a novel technique to reduce the number of fixed segments, namely, the “Klotski technique.” The efficacy of ACAF using the Klotski technique was compared with that of anterior cervical corpectomy and fusion (ACCF) in the treatment of OPLL with en bloc type dural ossification (DO).
Methods
The clinical data of 25 patients with severe OPLL and en bloc type DO who were treated by the ACAF Klotski technique or ACCF at our hospital from January 2020 to January 2022 were retrospectively analyzed. In the Klotski technique, the number of segments fused within the OPLL is limited. The antedisplacement space was designed according to the shape of the vertebrae-OPLL-DO complex (VODC). Then, the entire VODC was antedisplaced as in Klotski. Neurological function and image examination were assessed preoperatively and postoperatively. Complications associated with surgery were recorded.
Results
Patients were followed up for 24–36 months. There were 11 patients who were treated with ACAF and 14 patients who were treated with ACCF. At 2 weeks after surgery, the incidence of neurological deterioration was 21.4% (3 of 14) in the ACCF group and 9.1% (1 of 11) in the ACAF group. The incidence of intraoperative cerebrospinal fluid leakage (CFL) was 35.7% (5 of 14) in the ACCF group and 9.1% (1 of 11) in the ACAF group. The postoperative follow-up JOA scores of the patients in both groups were significantly better than their preoperative JOA scores (p<0.05).
Conclusion
The Klotski technique for ACAF is a good option for the treatment of patients with en bloc type OPLL-DO, as it limits the number of fused segments, has a low incidence of CFL and neurologic deficits and is associated with good neurological recovery.

Citations

Citations to this article as recorded by  Crossref logo
  • Biportal Endoscopic Techniques for Severe Dural Ossification in Thoracic Ossification of the Ligamentum Flavum: Insights From Preoperative Imaging
    Ji Yeon Kim, Su Yong Choi, Dong Chan Lee, Hyeun Sung Kim, Dong Hwa Heo
    Neurospine.2025; 22(3): 819.     CrossRef
  • 6,442 View
  • 183 Download
  • 1 Web of Science
  • 1 Crossref
Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Sun Woo Jang, Sang Hyub Lee, Hong Kyung Shin, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
Neurospine 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2023;20(4):1421-1430.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2346736.368
Close
Objective
Cerebrospinal fluid (CSF) leakage is a major concern related to anterior cervical decompression and fusion for ossification of the posterior longitudinal ligament (OPLL). We propose a management algorithm for CSF leakage following anterior cervical decompression and fusion for OPLL involving the use of pump-regulated volumetric continuous lumbar drainage.
Methods
We retrospectively reviewed patients who underwent anterior cervical decompression and fusion for OPLL and were managed with the proposed algorithm between March 2018 and July 2022. The proposed management algorithm for CSF leakage by pump-regulated volumetric continuous lumbar drainage was as follows. On exposure of the arachnoid membrane with or without CSF leakage, a dural sealant patch was applied to manage the dural defect. In case of persistent CSF leakage despite application of the dural sealant patch, patients underwent pump-regulated volumetric continuous lumbar drainage.
Results
Fifty-one patients were included in the study. CSF leakage occurred in 14 patients. Of these 14 patients, 9 patients underwent lumbar drain insertion according to the proposed management algorithm. Successful resolution of CSF leakage was observed in 8 of the 9 patients who underwent lumbar drainage. All patients were encouraged to ambulate without concern of CSF overdrainage due to gravity, because it could be avoided with pump-regulated volumetric continuous CSF drainage. Therefore, complications associated with absolute bed rest or CSF overdrainage were not observed.
Conclusion
The proposed management algorithm with pump-regulated volumetric continuous lumbar drainage showed safety and efficacy for management of CSF leakage following anterior decompression and fusion for OPLL.

Citations

Citations to this article as recorded by  Crossref logo
  • Enhanced indirect sealing of cerebrospinal fluid leaks in anterior cervical surgery using plate mechanical pressure
    Dong Liu, Leisheng Wang, Xiaoguang Fan
    Journal of Radiation Research and Applied Sciences.2026; 19(1): 102196.     CrossRef
  • Delayed myelopathy caused by cerebrospinal fluid pseudocyst following decompression for thoracic ossification of the ligamentum flavum: a case report and literature review
    Shuxin Zheng, Jianzhi Wang, Junhu Li, Linnan Wang, Lei Wang, Yueming Song
    BMC Musculoskeletal Disorders.2026;[Epub]     CrossRef
  • External lumbar drain for fistula leakage in posterior fossa and spinal surgery: a systematic review with meta-analysis
    Luciano Falcão, João Pedro Fernandes Gonçalves, Maianna Sancho do Lago, Maria Clara Nery Cardoso, Judson Carlos S. N. Júnior, Lucas Piason, Jean G. de Oliveira, José Carlos Esteves Veiga
    Neurosurgical Review.2025;[Epub]     CrossRef
  • Dural Tear and Cerebrospinal Fluid Leakage in Anterior Cervical Spine Surgery: Pathophysiology, Management, and Evolving Repair Techniques
    Jae Jun Yang, Jiwon Park, Jong-Beom Park, Suo Kim
    Journal of Clinical Medicine.2025; 14(23): 8478.     CrossRef
  • Review/Perspective: Incidence and treatment of CSF leaks/dural tears (DT) occurring during anterior cervical surgery
    Nancy E. Epstein, Marc A. Agulnick
    Surgical Neurology International.2024; 15: 401.     CrossRef
  • The drainage volume control by elevation of drainage height versus head down tilt in supine position for management of cerebrospinal fluid leakage following lumbar posterior surgery
    Ping Dong, Jing Huang, Xu Deng, Hongli Yang, Chunmei Luo
    BMC Musculoskeletal Disorders.2024;[Epub]     CrossRef
  • 8,087 View
  • 216 Download
  • 4 Web of Science
  • 6 Crossref

NSJ: Spinal Intramedullary Tumor

Predictors of Cerebrospinal Fluid Leak Following Dural Repair in Spinal Intradural Surgery
Lei Jiang, Alexandru Budu, Muhammad Shuaib Khan, Edward Goacher, Angelos Kolias, Rikin Trivedi, Jibin Francis
Neurospine 2023;20(3):783-789.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346432.216

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Predictors of Cerebrospinal Fluid Leak Following Dural Repair in Spinal Intradural Surgery
Neurospine. 2023;20(3):783-789.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346432.216
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Predictors of Cerebrospinal Fluid Leak Following Dural Repair in Spinal Intradural Surgery
Neurospine. 2023;20(3):783-789.   Published online September 30, 2023
DOI: https://doi.org/10.14245/ns.2346432.216
Close
Objective
We aim to compare the effectiveness of dural closure techniques in preventing cerebrospinal fluid (CSF) leaks following surgery for intradural lesions and seek to identify additional factors associated with CSF leaks. Surgical management of spinal intradural lesions involves durotomy which requires a robust repair to prevent postoperative CSF leakage. The ideal method of dural closure and the efficacy of sealants has not been established in literature.
Methods
We performed a retrospective analysis of all intradural spinal cases performed at a tertiary spine centre from 1 April 2015 to 29 January 2020 and collected data on patient bio-profile, dural repair technique, and CSF leak rates. Multivariate analysis was performed to identify predictors for postoperative CSF leak.
Results
A total of 169 cases were reported during the study period. There were 15 cases in which postoperative CSF leak was reported (8.87%). Multivariate analysis demonstrated that patient age (odds ratio [OR], 0.942; 95% confidence interval [CI], 0.891–0.996), surgical indication listed in the “others” category (OR, 44.608; 95% CI, 1.706–166.290) and dural closure with suture, sealant and patch (OR, 22.235; 95% CI, 2.578–191.798) were factors associated with CSF leak. Postoperative CSF leak was associated with the risk of surgical site infection with a likelihood ratio of 8.704 (χ² (1) = 14.633, p < 0.001).
Conclusion
Identifying predictors for CSF leaks can assist in the counselling of patients with regard to surgical risk and expected postoperative recovery.

Citations

Citations to this article as recorded by  Crossref logo
  • Giant Thoracic Meningioma: Missed Diagnosis and Challenging Management in a Resource-Limited Setting
    Gerald Musa, Aaron Munkondya, Lukulula E Mwanza, Sandford Sumaili, Mwaba Nambela, Davies Chiwaya, Chifundo Daka, Kabongo Ngoy, Keith Simfukwe, Misa Funjika, Carlos Castillo-Rangel, Gervith Reyes Soto, Manuel De Jesus Encarnacion Ramirez, Nicola Montemurro
    Cureus.2026;[Epub]     CrossRef
  • Titanium Clips for Dural Closure in Intradural Spine Procedures: A Systematic Review and Meta-Analysis
    Fernando Cotrim Gomes, Guilherme Gago, Italo Guilherme Giarola de Freitas Mariano, Ignacio Mesina-Estarron, Rachel Zhang, Anuraag Tandon, Raquel Santos Tourinho Ernesto, Aaron Yengo-Kahn
    Spine Open.2026;[Epub]     CrossRef
  • Degradation Pattern of a Biodegradable and Photocurable Sealants Based on Hyaluronic Acid : A Serial Magnetic Resonance Imaging Observational Study in Rat Craniectomy Model
    Hyeseon Lee, Sijoon Lee, Seung Yun Yang, Dong Hwan Kim, Mahnjeong Ha, Kyoung Hyup Nam
    Journal of Korean Neurosurgical Society.2025; 68(4): 375.     CrossRef
  • Machine learning algorithms for prediction of cerebrospinal fluid leakage after posterior surgery for thoracic ossification of the ligamentum flavum
    Ruizhou Guo, Ben Liu, Yunqi Wu, Yilu Zhang, Xiyang Wang, Dingyu Jiang, Zheng Liu
    Scientific Reports.2025;[Epub]     CrossRef
  • Minimally Invasive Versus Open Surgery for Intradural Extramedullary Spinal Cord Tumors: A Critical Analysis
    G. Balamurali, Soma Sundar Subramanian, Keerthivasan Panneerselvam, Satish Venugopal
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(Suppl 2): S150.     CrossRef
  • Postoperative Fluid Collections after Lumbar Spine Surgery: Differential Diagnosis and Surgical Considerations
    Hoiwan Cheung, Shari T. Jawetz, Christian Geannette
    RadioGraphics.2025;[Epub]     CrossRef
  • Predictors of Postoperative Incisional Cerebrospinal Fluid Leak of Closed Spinal Dysraphism in Different Age Groups
    Mengchun Sun, Benzhang Tao, Tianqi Su, Yue Ma, Gan Gao, Hui Wang, Xinguang Yu
    World Neurosurgery.2025; 204: 124576.     CrossRef
  • 11,371 View
  • 213 Download
  • 6 Web of Science
  • 7 Crossref
Risk Factors of Postoperative Cerebrospinal Fluid Leak After Craniovertebral Junction Anomalies Surgery: A Case-Control Study
Yu Xiao, Bing Wang, Yulian Chen, Lingqiang Chen, Zhenkai Lou, Zhiqiang Gong
Neurospine 2023;20(1):255-264.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244772.386

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Risk Factors of Postoperative Cerebrospinal Fluid Leak After Craniovertebral Junction Anomalies Surgery: A Case-Control Study
Neurospine. 2023;20(1):255-264.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244772.386
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Risk Factors of Postoperative Cerebrospinal Fluid Leak After Craniovertebral Junction Anomalies Surgery: A Case-Control Study
Neurospine. 2023;20(1):255-264.   Published online March 31, 2023
DOI: https://doi.org/10.14245/ns.2244772.386
Close
Objective
To identify potential risk factors for cerebrospinal fluid (CSF) leakage after craniovertebral junction (CVJ) anomaly surgery and to provide a reference for clinical practice.
Methods
Sixty-six patients who underwent elective CVJ anomaly surgery during a 6-year period (April 2013 to September 2019) were retrospectively included. Research data were collected from the patients’ medical records and imaging systems. Patients were divided into CSF leak and no CSF leak groups. Univariate tests were performed to identify potential risk factors. For statistically significant variables in the univariate tests, a logistic regression test was used to identify independent risk factors for CSF leakage.
Results
The overall prevalence of CSF leakage was 13.64%. Univariate tests showed that a basion-dental interval (BDI) > 10 mm and occipitalized atlas had significant intergroup differences (p < 0.05). Multivariate analysis indicated that a BDI > 10 mm was an independent risk factor for CSF leakage, and patients with CVJ anomalies with a BDI > 10 mm were more likely to have postoperative CSF leaks (odds ratio, 14.67; 95% confidence interval, 1.48–30.88; p = 0.004).
Conclusion
It is necessary to maintain vigilance during CVJ anomaly surgery in patients with a preoperative BDI > 10 mm to avoid postoperative CSF leaks.

Citations

Citations to this article as recorded by  Crossref logo
  • Postoperative Thoracic Cord Compression Induced by a Dural Sealant System (DuraSeal®): A Case Report and Literature Review
    Dong Soon Jang, Seung Hun Sheen, Inbo Han, Soo Hyun Lee, Woo Seok Choi, Minsung Bock, Seil Sohn
    The Nerve.2024; 10(1): 57.     CrossRef
  • Outcomes of Incidental Durotomy Repair in Thoracolumbar Spine Surgery: An Institutional Experience With Orthopedic Residents
    Arun Kumaar, Manoj K Ramachandraiah, Sandesh Agarawal, Arun H Shanthappa, Madhavan Parmanantham
    Cureus.2023;[Epub]     CrossRef
  • Predictors of Cerebrospinal Fluid Leak Following Dural Repair in Spinal Intradural Surgery
    Lei Jiang, Alexandru Budu, Muhammad Shuaib Khan, Edward Goacher, Angelos Kolias, Rikin Trivedi, Jibin Francis
    Neurospine.2023; 20(3): 783.     CrossRef
  • Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
    Sun Woo Jang, Sang Hyub Lee, Hong Kyung Shin, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
    Neurospine.2023; 20(4): 1421.     CrossRef
  • 7,561 View
  • 161 Download
  • 3 Web of Science
  • 4 Crossref
Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery
Alexander E. Ropper, Kevin T. Huang, Allen L. Ho, Judith M. Wong, Stephen V. Nalbach, John H. Chi
Neurospine 2018;15(4):338-347.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836042.021

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery
Neurospine. 2018;15(4):338-347.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836042.021
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery
Neurospine. 2018;15(4):338-347.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836042.021
Close
Objective
Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic cancer treatment. In this case series, we discuss our experience with the management of intraoperative durotomies and wound closure strategies for this complex surgical patient population.
Methods
We reviewed our recent single-center experience with spine surgery for primarily extradural tumors, with attention to intraoperative durotomy occurrence and postoperative wound-related complications.
Results
A total of 105 patients underwent tumor resection and spinal reconstruction with instrumented fusion for a multitude of pathologies. Twelve of the 105 patients (11.4%) reviewed had intraoperative durotomies. Of these, 3 underwent reoperation for a delayed complication, including 1 epidural hematoma, 1 retained drain, and 1 wound infection. Of the 93 uncomplicated index operations, there were a total of 9 reoperations: 2 for epidural hematoma, 3 for wound infection, 2 for wound dehiscence, and 2 for recurrent primary disease. One patient was readmitted for a delayed spinal fluid leak. The average length of stay for patients with and without intraoperative durotomy was 7.3 and 5.9 days, respectively, with a nonsignificant trend for an increased length of stay in the durotomy cases (p=0.098).
Conclusion
Surgery for extradural tumor resections can be complicated by CSF leaks due to the proximity of the tumor to the dura. When encountered, a variety of strategies may be employed to minimize subsequent morbidity.

Citations

Citations to this article as recorded by  Crossref logo
  • Delayed myelopathy caused by cerebrospinal fluid pseudocyst following decompression for thoracic ossification of the ligamentum flavum: a case report and literature review
    Shuxin Zheng, Jianzhi Wang, Junhu Li, Linnan Wang, Lei Wang, Yueming Song
    BMC Musculoskeletal Disorders.2026;[Epub]     CrossRef
  • Degradation Pattern of a Biodegradable and Photocurable Sealants Based on Hyaluronic Acid : A Serial Magnetic Resonance Imaging Observational Study in Rat Craniectomy Model
    Hyeseon Lee, Sijoon Lee, Seung Yun Yang, Dong Hwan Kim, Mahnjeong Ha, Kyoung Hyup Nam
    Journal of Korean Neurosurgical Society.2025; 68(4): 375.     CrossRef
  • Management of Persistent Cerebrospinal Fluid Fistula after Preoperative Lumbar Drain Using Epidural Blood Patch and Fibrin Sealant
    Karthik Nandam, Gopalakrishnan Madhavan Sasidharan
    Neurology India Case Report.2025; 1(1): 35.     CrossRef
  • Dural Closure Techniques and Cerebrospinal Fluid Leak Incidence After Resection of Primary Intradural Spinal Tumors
    Arjun Syal, Francesca M. Cozzi, Sima Vazquez, Eris Spirollari, Alexandria F. Naftchi, Ankita Das, Christina Ng, OluwaToba Akinleye, Thomas Gagliardi, Jose F. Dominguez, Arthur Wang, Merritt D. Kinon
    Clinical Spine Surgery.2024; 37(7): 291.     CrossRef
  • Subfascial drains are safe and effective in preventing postoperative cerebrospinal fluid leaks after intradural spine tumor surgery
    Julie Mayeku, Esteban Quiceno, Christina Cannata, Giovanni Barbagli, Amna Hussein, Nikhil Dholaria, Michael Prim, Ali A. Baaj
    Surgical Neurology International.2024; 15: 8.     CrossRef
  • Supraclavicular Artery Island Flap for Treatment of Cervical Wound Defects and Persistent Cerebrospinal Fluid Leaks: A Technical Note and Systematic Review of the Literature
    Esteban Quiceno, Mohamed A.R. Soliman, Asham Khan, Maria Jose Cavagnaro, Ryan P. McSpadden, John Pollina, Elad I. Levy, Jeffrey P. Mullin
    World Neurosurgery.2024; 185: e915.     CrossRef
  • Does an Unintended Durotomy in Metastatic Spine Surgery Lead to Shorter Survival?
    Lakshmi Suryateja Gangavarapu, Hani Chanbour, Gabriel A. Bendfeldt, Iyan Younus, Soren Jonzzon, Silky Chotai, Amir M. Abtahi, Byron F. Stephens, Scott L. Zuckerman
    Neurosurgery Practice.2024;[Epub]     CrossRef
  • Is the Spinal Instability Neoplastic Score Accurate and Reliable in Predicting Vertebral Compression Fractures for Spinal Metastasis? A Systematic Review and Qualitative Analysis
    Chang-Hyun Lee, Jae Taek Hong, Sun-Ho Lee, Seong Yi, Moon-Jun Sohn, Sung Hwan Kim, Chun Kee Chung
    Journal of Korean Neurosurgical Society.2021; 64(1): 4.     CrossRef
  • Surgical Strategy for Sacral Tumor Resection
    Kwang-Ryeol Kim, Kyung-Hyun Kim, Jeong-Yoon Park, Dong-Ah Shin, Yoon Ha, Keung-Nyun Kim, Dong-Kyu Chin, Keun-Su Kim, Yong-Eun Cho, Sung-Uk Kuh
    Yonsei Medical Journal.2021; 62(1): 59.     CrossRef
  • Microsurgical anatomy and treatment of dural defects in spontaneous spinal cerebrospinal fluid leaks
    Ako Matsuhashi, Keisuke Takai, Makoto Taniguchi
    Journal of Neurosurgery: Spine.2021; 34(3): 522.     CrossRef
  • 17,203 View
  • 165 Download
  • 7 Web of Science
  • 10 Crossref

Case Report

Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica
Young-Jin Kim
Korean J Spine 2017;14(3):103-105.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.103

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica
Korean J Spine. 2017;14(3):103-105.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.103
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica
Korean J Spine. 2017;14(3):103-105.   Published online September 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.3.103
Close
Incidental durotomies are a frequent complication during spinal surgery. Cerebrospinal fluid (CSF) leakage from a dural tear may be visually apparent intraoperatively, but occasionally, a tear may not be recognized during the procedure. We report our experience in 2 cases of postoperative incarceration of nerve root as a cause of sciatica, without CSF leakage intraope- ratively. When durotomy attributable to surgical manipulation does occur, intraoperative identification is mandated. If a patient develops unexplainable postoperative pain and neurological deficits after lumbar discectomy, incarceration of nerve root should be considered in the differential diagnosis.

Citations

Citations to this article as recorded by  Crossref logo
  • 腰椎椎弓切除後に馬尾嵌頓を認めた1例
    祐加 西山, 晃章 塩川, 潤 田中, 達也 柴田, 京一 眞田, 秀祐 萩原, 颯太 佐々木, 卓明 山本
    Orthopedics & Traumatology.2024; 73(3): 406.     CrossRef
  • Nerve Root Herniation With Entrapment After Endoscopic Spine Decompression
    Sang Hun Park, Jung Hwan Lee, Chung Kee Chough
    Journal of Minimally Invasive Spine Surgery and Technique.2023; 8(2): 219.     CrossRef
  • Herniation of the cauda equina into the facet joint through a pseudomeningocele: A case report and literature review
    Jumpei Iida, Naohisa Miyakoshi, Michio Hongo, Hiroshi Sasaki, Hiroki Ito, Hitoshi Kubota, Takeshi Sato, Yoichi Shimada
    Surgical Neurology International.2021; 12: 30.     CrossRef
  • Incidental Durotomy in Lumbar Spine Surgery; Risk Factors, Complications, and Perioperative Management
    Hamid Hassanzadeh, Joshua Bell, Manminder Bhatia, Varun Puvanesarajah
    Journal of the American Academy of Orthopaedic Surgeons.2021; 29(6): e279.     CrossRef
  • Complications from the surgical treatment of lumbar stenosis
    Ananth S. Eleswarapu
    Seminars in Spine Surgery.2019; 31(3): 100711.     CrossRef
  • 10,619 View
  • 121 Download
  • 5 Crossref

Technical Note

Repair of Inaccessible Ventral Dural Defect in Thoracic Spine: Double Layered Duraplasty
Dong-Hyun Lee, Kyoung-Tae Kim, Jeong-Ill Park, Ki-Su Park, Dae-Chul Cho, Joo-Kyung Sung
Korean J Spine 2016;13(2):87-90.   Published online June 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.2.87

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Repair of Inaccessible Ventral Dural Defect in Thoracic Spine: Double Layered Duraplasty
Korean J Spine. 2016;13(2):87-90.   Published online June 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.2.87
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Repair of Inaccessible Ventral Dural Defect in Thoracic Spine: Double Layered Duraplasty
Korean J Spine. 2016;13(2):87-90.   Published online June 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.2.87
Close

We propose a double layered (intradural and epidural patch) duraplasty that utilizes Lyoplant and Duraseal. We examined a 47-year-old woman after decompression for thoracic ossification of posterior longitudinal ligament was performed in another hospital. On postoperative day 7, she complained of weakness in both legs. Postoperative magnetic resonance imaging (MRI) showed cerebrospinal fluid (CSF) collection with cord compression. In the operative field, we found 2 large dural defects on the ventral dura mater. We performed a conventional fat graft with fibrin glue. However, the patient exhibited neurologic deterioration, and a postoperative MRI again showed CSF collection. We performed dorsal midline durotomy and inserted a intradural and epidural Lyoplant patch. She immediately experienced diminishing back pain postoperatively. Her visual analog scale and motor power improved markedly. Postoperative MRIs performed at 2 and 16 months showed no spinal cord compression or CSF leakage to the epidural space. We describe a new technique for double layered duraplasty. Although we do not recommend this technique for all dural repairs, double-layered duraplasty may be useful for repairing large inaccessible dural tears in cases of persistent CSF leakage refractory to conventional management.

Citations

Citations to this article as recorded by  Crossref logo
  • Dural Closure Techniques and Cerebrospinal Fluid Leak Incidence After Resection of Primary Intradural Spinal Tumors
    Arjun Syal, Francesca M. Cozzi, Sima Vazquez, Eris Spirollari, Alexandria F. Naftchi, Ankita Das, Christina Ng, OluwaToba Akinleye, Thomas Gagliardi, Jose F. Dominguez, Arthur Wang, Merritt D. Kinon
    Clinical Spine Surgery.2024; 37(7): 291.     CrossRef
  • Massive lumbar disc herniation treated with a transdural approach and posterior fusion. A case report
    Takashi Sono, Kenji Nakatani, Kazuaki Morizane, Kazushi Otsuka, Kazutaka Takatsuka
    Interdisciplinary Neurosurgery.2024; 36: 101924.     CrossRef
  • Importance of Multimodal Spinal Cord Monitoring and Hemodynamic Augmentation during High Thoracic Ventral Dural Tear Repair Using the Posterior Approach
    Ramamani Mariappan, Sajo Thomas, Krishnaprabhu Raju
    Journal of Neuroanaesthesiology and Critical Care.2023; 10(03): 202.     CrossRef
  • A novel two-layer, intradural and extradural patch graft approach to treating dural defects and tears: illustrative case
    Daniella Lazarus, Charlotte Hawks, Namrita Kumar, Tara McCaffrey, Arthur L. Jenkins
    Journal of Neurosurgery: Case Lessons.2022;[Epub]     CrossRef
  • Pedicled Multifidus Muscle Flap To Treat Inaccessible Dural Tear In Spine Surgery: Technical Note And Preliminary Experience
    Domenico Policicchio, Riccardo Boccaletti, Giosuè Dipellegrini, Artan Doda, Andrea Stangoni, Santonio Filippo Veneziani
    World Neurosurgery.2021; 145: 267.     CrossRef
  • Letter to the editor: Dural Leak: Is It Deterrent to Outcomes in Spine Surgery?: 10 Years Retrospective Analysis of Incidence, Management Protocol, and Surgical Outcomes
    Vishal Kumar, Sanjay Singh Rawat
    Spine.2021; 46(17): E954.     CrossRef
  • Anterior Dural Tear in Thoracic and Lumbar Spinal Fractures: Single-Center Experience with Coating Technique and Literature Review of the Available Strategies
    Giorgio Lofrese, Jacopo Visani, Francesco Cultrera, Pasquale De Bonis, Luigino Tosatto, Alba Scerrati
    Life.2021; 11(9): 875.     CrossRef
  • Medical Communication Services after Traumatic Spinal Cord Injury
    Jamal Alshorman, Yulong Wang, Fengzhao Zhu, Lian Zeng, Kaifang Chen, Sheng Yao, Xirui Jing, Yanzhen Qu, Tingfang Sun, Xiaodong Guo, Malik Alazzam
    Journal of Healthcare Engineering.2021; 2021: 1.     CrossRef
  • 17,946 View
  • 211 Download
  • 8 Crossref

Case Report

Spinal Epidural Hematoma Related to Intracranial Hypotension
Kyung Han Cha, Tack Geun Cho, Chang Hyun Kim, Ho Kook Lee, Jae Gon Moon
Korean J Spine 2013;10(3):203-205.   Published online September 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.3.203

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Spinal Epidural Hematoma Related to Intracranial Hypotension
Korean J Spine. 2013;10(3):203-205.   Published online September 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.3.203
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Spinal Epidural Hematoma Related to Intracranial Hypotension
Korean J Spine. 2013;10(3):203-205.   Published online September 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.3.203
Close

A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the operation, the patient recovered all motor and senses. As there was CSF leakage in the postoperative wound, this was confirmed by cervical spinal computed tomography (CT). Then lumbar drainage was thus performed. The opening pressure upon lumbar puncture was not measured as it was very low. As a result of continous CSF leakage, dural repair was performed. After the operation, the patient had been discharged without neurologic deficits. In this case, it is sensible to suspect intracranial hypotension as a possible cause of spinal EDH.

Citations

Citations to this article as recorded by  Crossref logo
  • Imágenes de la hipotensión de líquido cefalorraquídeo
    Maximiliano A. Hawkes, Sebastián F. Ameriso
    Neurología Argentina.2015; 7(4): 254.     CrossRef
  • 9,332 View
  • 58 Download
  • 1 Crossref
First First Prev Prev
Page of 1
Next Next Last Last
NS : Neurospine
Facebook Twitter