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Postoperative Cerebrospinal Fluid Leakage After Lumbar Spine OperationsConservative Treatment

 

作者: MARC WAISMAN,   YITZCHAK SCHWEPPE,  

 

期刊: Spine  (OVID Available online 1991)
卷期: Volume 16, issue 1  

页码: 52-53

 

ISSN:0362-2436

 

年代: 1991

 

出版商: OVID

 

关键词: lumbar spine operations;postoperative CSF leakage;traumatic pantopaque myelography;prevention of meningeal pseudocyst (pseudomeningocele);dural tearsduring operation;postoperative resuturing of the skin after CSF leakage as procedure

 

数据来源: OVID

 

摘要:

Cerebrospinal fluid (CSF) leakage from a postoperative wound after lumbar spine operation is an uncommon complication. It may result from excessive traction of the nerve roots, direct trauma, or laceration at the time of operation, causing the dura to be inadvertently opened.1,4Other reasons for this complication are postlaminectomy residual bone spikes, traumatic myelography puncture,2and improper suture of dura defects. Eight patients who had postoperative CSF leakage as the only complication after lumbosacral spine operations were examined. They were all treated conservatively with bed rest in the Trendelenburg position, antibiotic coverage, watertight skin suturing, and daily subcutaneous punctures. No patient was operated on for the same type of complication.

 

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