Abstract:
STUDY DESIGN:A case of cerebrospinal fistula secondary to a dural tear during anterior cervical discectomy and fusion. OBJECTIVES:To report a quite rare complication associated with anterior cervical discectomy and remind the spinal surgeons that this infrequent complication can easily become a very serious one. SUMMARY OF BACKGROUND DATA:Anterior cervical discectomy represents one of the most commonly performed spinal procedures. Of the associated complications, accidental dural tear can lead to the development of a cerebrospinal fluid (CSF) fistula. Although this complication has been mentioned in several clinical series, the body of knowledge regarding incidence and appropriate treatment is definitely limited. METHODS:After undergoing anterior cervical discectomy and fusion for an extruded disc at the C4-C5 level, a CSF fistula developed in a 37-year-old patient as a result of a dural tear. The patient underwent a second procedure for surgical wound revision, meticulous dural opening coverage, and insertion of a lumbar drain for draining CSF for 5 days. RESULTS:The patient was hospitalized for 5 days and then discharged with no evidence of CSF leakage. His follow-up of 9 months revealed complete resolution of his preoperative symptomatology and no other problems associated with the complication of the CSF fistula. CONCLUSION:Early identification of this complication and aggressive treatment with insertion of lumbar drain, CSF drainage for 4-5 days, and coverage of the dural tear with fibrin sealant or autologous fascia graft can prevent the development of any consequences.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Fountas KN,Kapsalaki EZ,Johnston KWdoi
10.1097/01.brs.0000162399.93992.5ckeywords:
subject
Has Abstractpub_date
2005-05-15 00:00:00pages
E277-80issue
10eissn
0362-2436issn
1528-1159pii
00007632-200505150-00028journal_volume
30pub_type
杂志文章相关文献
SPINE文献大全abstract::Fracture and fracture-dislocations of the cervical spine are serious injuries that rarely go undiagnosed. A case report of a bilateral facet dislocation with anterior displacement is presented that went undiagnosed and untreated, and healed without neurologic sequelae. No previous similar reports are known. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197806000-00004
更新日期:1978-06-01 00:00:00
abstract::A new type of impactor was developed to decompress the anterior aspect of the vertebral body. These instruments are particularly useful for cases of burst fracture. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199308000-00018
更新日期:1993-08-01 00:00:00
abstract::The prevalence rate of musculoskeletal problems, especially low back pain and severe low back pain in a randomly selected sample of 1,773 construction workers was studied. Its relationship to physical and psychosocial factors was analyzed. The workers answered a postal questionnaire. Workload was measured by means of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199206000-00005
更新日期:1992-06-01 00:00:00
abstract:STUDY DESIGN:A single large family, in which adolescent idiopathic scoliosis (AIS) and pectus excavatum (PE) segregate as an autosomal dominant condition, was evaluated. Genome-wide linkage analysis and candidate gene sequencing were performed. OBJECTIVE:To map the disease-causing locus in a large white family in whic...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31818b88a5
更新日期:2009-01-15 00:00:00
abstract:STUDY DESIGN:Retrospective longitudinal cohort. OBJECTIVE:We sought to demonstrate the minimally effective bone morphogenetic protein (BMP) dose to achieve fusion in minimally invasive transforaminal lumbar interbody fusions. SUMMARY OF BACKGROUND DATA:Multiple studies have been conducted, which used a wide range of ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002993
更新日期:2019-07-15 00:00:00
abstract::In this study, the myoelectric activity of 12 paraspinal muscles of ten men aged 18-24 was recorded to examine the effects of backrest inclination and lumbar support in relation to driving. In total, 24 test conditions were evaluated over a 3.5-hour period in a single day. These tests were then repeated, changing the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198611000-00013
更新日期:1986-11-01 00:00:00
abstract:STUDY DESIGN:The authors prospectively evaluated 40 patients with paralytic scoliosis treated from 1985 to 1990 with bilateral posterior segmental instrumentation, facet fusions, local bone graft, and allograft (mostly fresh frozen) bone supplementation only. OBJECTIVES:The authors report the fusion results for these ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::During the summers of 1987 and 1988, 14 cervical spine injuries sustained during bodysurfing accidents at the beaches around Ocean City, Maryland presented to our Neurotrauma service. All the patients were men, predominantly in their middle years (mean age = 40), and otherwise healthy. Likely mechanisms of injury sugg...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199203000-00002
更新日期:1992-03-01 00:00:00
abstract:STUDY DESIGN:A baseline study of the general population and the health care providers in 3 Norwegian counties. OBJECTIVE:To investigate if beliefs about low back pain (LBP) are related to personal experiences and profession sought for care. SUMMARY OF BACKGROUND DATA:Myths about LBP that are abandoned by health profe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000171909.81632.fe
更新日期:2005-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of a prospectively collected database. OBJECTIVE:The Scoliosis Research Society (SRS) collects morbidity and mortality (M and M) data from its members. Our objectives were to assess complication rates for 3 common spine procedures, compare these results with prior literature as a mean...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181cbc8e7
更新日期:2010-11-15 00:00:00
abstract:STUDY DESIGN:Prospective randomized study to compare the efficacy of facet joint injection with lidocaine and facet joint injection with saline in two groups of patients with low back pain, with and without clinical criteria that were determined in a previous study to implicate the facet joint as the primary source of ...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199809150-00011
更新日期:1998-09-15 00:00:00
abstract:STUDY DESIGN:Retrieval analysis of 2 Ti-6Al-4V alloy rods that fractured after spinal instrumentation surgery. OBJECTIVE:To determine the mechanism that underlies fractures of Ti-6Al-4V alloy rods after spinal instrumentation surgery from a materials science viewpoint. SUMMARY OF BACKGROUND DATA:Rod failures after sp...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000881
更新日期:2015-07-01 00:00:00
abstract:STUDY DESIGN:Analysis of longitudinal data collected prospectively from patients seen in 27 National Spine Network member centers across the United States. OBJECTIVE:To evaluate the responsiveness of the Oswestry Disability Index, MODEMS scales, and all scales and summary scales of the MOS Short-Form 36 (SF-36) for pa...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/01.BRS.0000050654.97387.DF
更新日期:2003-03-15 00:00:00
abstract:STUDY DESIGN:Repositioning error of the trunk was tested in 20 subjects with chronic low back pain and in 20 control subjects. The 3Space Tracker (Polhemus, Colchester, VT), a device that measures three-dimensional position in space, was used to determine the subject's trunk position. OBJECTIVES:To determine whether r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200001150-00017
更新日期:2000-01-15 00:00:00
abstract:STUDY DESIGN:The segmental levels of dorsal root ganglions innervating the sacroiliac joint in rats were investigated using the retrograde transport method. The pathways and functions of the nerve fibers supplying the sacroiliac joint were determined by immunohistochemical detection of transported tracer. OBJECTIVES:T...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008150-00003
更新日期:2000-08-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effectiveness and safety of cervical laminoplasty versus laminectomy and fusion for the treatment of cervical myelopathy, and to identify any patient subgroups for whom one treatment may result in better outcomes than the other. SUMMARY OF BACKGROUND DATA:Cer...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182a7eb7c
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:This is a biomechanical study using sheep thoracic spine to investigate the probability of mechanical failure of the thoracic spine with various sizes or locations of tumor metastasis. OBJECTIVE:The objectives of this study were to investigate biomechanical effects of not only tumor sizes within the thora...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200405010-00008
更新日期:2004-05-01 00:00:00
abstract:STUDY DESIGN:Cervical facet capsular strains were determined during bending and at failure in the human cadaver. OBJECTIVE:To determine the effect of an axial pretorque on facet capsular strains and estimate the risk for subcatastrophic capsular injury during normal bending motions. SUMMARY OF BACKGROUND DATA:Epidemi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200005150-00007
更新日期:2000-05-15 00:00:00
abstract:STUDY DESIGN:A retrospective study that involved a total of 82 adult deformity patients who underwent spinal fusion surgery with instrumentation of 6 or more levels. OBJECTIVE:The purpose of this study is to assess the efficacy and safety of aprotinin in reducing blood loss in adult spinal deformity patients. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817b87c4
更新日期:2008-07-15 00:00:00
abstract:STUDY DESIGN:Changes in expression of voltage-dependent ion channel subunits were examined in the radicular pain state. Furthermore, antinociceptive effects of gabapentin on radicular pain were compared with effects on peripheral neuropathic pain. OBJECTIVES:To clarify molecular substrates involved in the development ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200207150-00007
更新日期:2002-07-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report the occurrence of a rare complication following revision of a spinal cord stimulator. SUMMARY OF BACKGROUND DATA:Puncture of the dura with placement of an electrode within the spinal cord has not been reported as a complication of spinal cord stimulation. METHODS:A patie...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e31814541dc
更新日期:2007-09-01 00:00:00
abstract::Intraoperative technical complications of pedicle screw fixation include screw cutout or maldirection and pedicle fracture. The aims of this study were 1) to use computed tomography to determine the average pedicle diameter; and 2) to compare these measurements with the outer diameter measurements of commonly used ped...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199206001-00017
更新日期:1992-06-01 00:00:00
abstract:STUDY DESIGN:The first case of scoliosis in an Orangutan spine is reported. OBJECTIVES:To study the nature of scoliosis in the spinal specimen, and to determine the etiologic significance to human idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Idiopathic scoliosis has not been observed in primates other than man. P...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000051928.68584.A4
更新日期:2003-04-01 00:00:00
abstract:STUDY DESIGN:A systematic review and meta-analysis. OBJECTIVE:To assess the measurement properties of the Functional Rating Index (FRI) and determine whether its measurement properties are comparable with other region-specific questionnaires. SUMMARY OF BACKGROUND DATA:In addition to low back pain (LBP) and neck pain...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/BRS.0000000000002690
更新日期:2018-11-15 00:00:00
abstract:STUDY DESIGN:A prospective study was conducted in patients who underwent surgeries for sciatica. The results were compared to those of control subjects. OBJECTIVES:This study expanded knowledge about the pathogenesis of back pain and sciatica in disc herniation. METHODS:Nucleus pulposus, retrieved from 10 patients wh...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199406000-00003
更新日期:1994-06-15 00:00:00
abstract::Pulmonary function and gas exchange at rest and during and after standard exercise on bicycle ergometer were studied in 49 girls, aged 10 to 16 years (mean, 13.7), with untreated idiopathic scoliosis, before and with Boston thoracic brace, and after treatment for 3 weeks, reducing the thoracic curve angle from a mean ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199005000-00014
更新日期:1990-05-01 00:00:00
abstract:STUDY DESIGN:Comparative 3-dimensional biomechanical testing. OBJECTIVE:To compare 5 fixation techniques, 3 using screws or screw and plates and 2 spinal, used for stabilization of complete unilateral sacroiliac dislocation in composite models. SUMMARY OF BACKGROUND DATA:Harrington compression rods have been used for...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000247951.10364.c2
更新日期:2006-12-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report a case of an acute intracranial subdural hematoma that formed due to cerebrospinal fluid (CSF) leak following lumbar surgery. SUMMARY OF BACKGROUND DATA:Intracranial hypotension may occur when CSF is removed from the subarachnoid space. Intracranial subdural hematoma form...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000192208.66360.29
更新日期:2005-12-15 00:00:00
abstract::Juvenile-type distal muscular atrophy of the upper extremities is a condition characterized by juvenile onset, muscular atrophy limited to the hand and forearm, and lack of definite sensory disturbance. Diagnostic imaging techniques and operative findings showed compressive lesions of the cervical spinal cord in seven...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199401000-00016
更新日期:1994-01-01 00:00:00
abstract:STUDY DESIGN:Analysis of nationally representative survey data for spine-related health care expenditures, utilization and self-reported health status. OBJECTIVE:To study trends from 1997 to 2006 in per-user expenditures for spine-related inpatient, outpatient, pharmacy, and emergency services; and to compare these tr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b1fad1
更新日期:2009-09-01 00:00:00