Cerebrospinal fluid leak during cervical corpectomy for ossified posterior longitudinal ligament: incidence, management, and outcome.

Abstract:

STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The rate of dural tear after CC is higher in patients with OPLL compared to other causes of cervical spinal stenosis. Various techniques have been described to deal with dural tears with CSF leak in OPLL. We assessed the efficacy of the repair technique used to deal with this complication in our patients with OPLL who had undergone CC. METHODS:A retrospective study was performed of all patients diagnosed with OPLL (n = 144) who had undergone CC between July 1992 and June 2007 (15 years). The dural defect was repaired with an onlay graft of crushed muscle/fascia and a layer of gelatin sponge. Bed rest and a lumbar subarachnoid drain were used for 5 days after surgery. RESULTS:Intraoperative CSF leak was noted in 9 patients (6.3%). The dural defects ranged in size from a few mm to about 15 mm (10-75 mm). All patients had a successful repair with no patient requiring reoperation for the CSF leak. CONCLUSION:Intraoperative CSF leak was encountered in 6.3% of patients undergoing CC for OPLL. A successful repair was achieved using fascial graft, gelatin sponge, lumbar CSF drainage, and bed rest.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Joseph V,Kumar GS,Rajshekhar V

doi

10.1097/BRS.0b013e318195d245

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

491-4

issue

5

eissn

0362-2436

issn

1528-1159

pii

00007632-200903010-00012

journal_volume

34

pub_type

杂志文章

相关文献

SPINE文献大全
  • Short-term comparison of cervical fusion with static and dynamic plating using computerized motion analysis.

    abstract:STUDY DESIGN:This study is a retrospective review of fusion rates for cervical plates, analyzed by means of computerized analysis. OBJECTIVES:This study compares the fusion rates for two-level anterior cervical discectomy and fusion between patients with static versus dynamic plates. SUMMARY OF BACKGROUND DATA:Anteri...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318060cca9

    authors: Goldberg G,Albert TJ,Vaccaro AR,Hilibrand AS,Anderson DG,Wharton N

    更新日期:2007-06-01 00:00:00

  • Cognitive Patient Education for Low Back Pain in Primary Care: A Cluster Randomized Controlled Trial and Cost-Effectiveness Analysis.

    abstract:STUDY DESIGN:A pragmatic cluster randomized controlled trial in primary care. OBJECTIVE:The aim of this study was to estimate the clinical effectiveness and cost-effectiveness of a cognitive-based education program on patients with subacute or chronic low back pain (LBP) in primary care, compared to usual treatment, p...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0000000000001268

    authors: Werner EL,Storheim K,Løchting I,Wisløff T,Grotle M

    更新日期:2016-03-01 00:00:00

  • Accuracy of fluoroscopy versus computer-assisted navigation for the placement of anterior cervical pedicle screws.

    abstract:STUDY DESIGN:Randomized laboratory cadaver study. OBJECTIVE:The objective of this study was to determine the accuracy of anterior transpedicular screw placement in the cervical spine using conventional fluoroscopy versus computer-assisted navigation. SUMMARY OF BACKGROUND DATA:Traditionally, global cervical instabili...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000786

    authors: Patton AG,Morris RP,Kuo YF,Lindsey RW

    更新日期:2015-04-01 00:00:00

  • Decreased risk of wound infection after posterior cervical fusion with routine local application of vancomycin powder.

    abstract:STUDY DESIGN:A retrospective cohort study. OBJECTIVE:To assess the ability of local vancomycin powder to prevent wound infection after posterior cervical fusion. SUMMARY OF BACKGROUND DATA:Wound infections are a significant source of morbidity and cost associated with spine surgery. Intraoperative application of vanc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318285b219

    authors: Strom RG,Pacione D,Kalhorn SP,Frempong-Boadu AK

    更新日期:2013-05-20 00:00:00

  • Psychosocial Variables Contribute to Length of Stay and Discharge Destination After Lumbar Surgery Independent of Demographic and Clinical Variables.

    abstract:STUDY DESIGN:Prospective analysis of resource utilization (RU) after lumbar surgery. OBJECTIVE:To determine contributions of patient psychosocial variables to RU, specifically length of stay (LOS) and discharge destination. SUMMARY OF BACKGROUND DATA:Associations between demographic/clinical variables and RU are well...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002312

    authors: Mancuso CA,Duculan R,Craig CM,Girardi FP

    更新日期:2018-02-15 00:00:00

  • Computed tomography in assessment of myelographic nerve root compression in the lateral recess.

    abstract::Thirty patients with myelographic shortening of a single nerve root sheath without indentation of the dural sac were studied by CT. Lateral disc herniation was diagnosed by CT in 18 patients. The myelograms of these patients were considered suspicious of disc herniation in three patients, uncertain in seven, and misin...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198606000-00020

    authors: Johansen JG

    更新日期:1986-06-01 00:00:00

  • The factors that play a role in the decision-making process of adult deformity patients.

    abstract:STUDY DESIGN:Retrospective matched cohort. OBJECTIVE:To investigate the factors that may affect the decision-making process of adult deformity patients. SUMMARY OF BACKGROUND DATA:Adult deformity is a significant cause of morbidity in the elderly population. Despite high complication rates a significant number of pat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181851ba6

    authors: Pekmezci M,Berven SH,Hu SS,Deviren V

    更新日期:2009-04-15 00:00:00

  • Prolapsed cervical intervertebral disc in male professional drivers in Denmark, 1981-1990. A longitudinal study of hospitalizations.

    abstract:STUDY DESIGN:This study of professional drivers is a part of a longitudinal record linkage study of all economically active men in Denmark, identified on January 1, 1981. Information about the main occupation was identified in 1980. The cohort was followed for first hospitalization with prolapsed cervical intervertebra...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199610150-00009

    authors: Jensen MV,Tüchsen F,Orhede E

    更新日期:1996-10-15 00:00:00

  • Atlantoaxial instability in os odontoideum with myelopathy.

    abstract:STUDY DESIGN:This study analyzed the correlation between the atlantoaxial instability (especially sagittal plane rotatory instability) and myelopathy. Thirty-four patients with os odontoideum were reviewed in clinical symptoms and radiographs. OBJECTIVES:The results were correlated to provide a rationale for the genes...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199606150-00007

    authors: Watanabe M,Toyama Y,Fujimura Y

    更新日期:1996-06-15 00:00:00

  • Cost Analysis of Magnet-driven Growing Rods for Early-onset Scoliosis at 5 Years.

    abstract:STUDY DESIGN:Prospective case series of nine children with early-onset scoliosis (EOS) treated by a single surgeon with a novel implant, the magnet-driven growing rod (MdGR) in a publicly funded health care service accounting for "payer costs" (PC) incurred. OBJECTIVE:The aim of this study was to compare the cost-effe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002738

    authors: Harshavardhana NS,Noordeen MHH,Dormans JP

    更新日期:2019-01-01 00:00:00

  • Postural alignment in barefoot and high-heeled stance.

    abstract::The posture of nineteen subjects under two conditions of footwear was analyzed for differences in the location of the line of gravity of the body with respect to anatomical landmarks. Intrasubject comparison of barefoot and high-heeled stance showed that the wearing of high heels caused lumbar flattening, a backward t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198805000-00018

    authors: Opila KA,Wagner SS,Schiowitz S,Chen J

    更新日期:1988-05-01 00:00:00

  • Cross-cultural adaptation, reliability, and validity of the Arabic version of neck disability index in patients with neck pain.

    abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA:Although largely used, no previ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31828b2d09

    authors: Shaheen AA,Omar MT,Vernon H

    更新日期:2013-05-01 00:00:00

  • The injured canine cervical spine after six months of healing. An in vitro three-dimensional study.

    abstract::The cervical spine is a common site of spinal injuries. The stability of an injured cervical spine is not only dependent on injury severity, but also on the degree of healing time. Using a canine model, three injuries of varying degrees of severity were surgically produced at the C4-C5 level and allowed to heal for 6 ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199015100-00012

    authors: Crisco JJ,Panjabi MM,Wang E,Price MA,Pelker RR

    更新日期:1990-10-01 00:00:00

  • Complete segmental resection of the spine, including the spinal cord, for telangiectatic osteosarcoma: a report of 2 cases.

    abstract:STUDY DESIGN:Two case reports of telangiectatic osteosarcoma treated with complete segmental resection of the spine, including the spinal cord. OBJECTIVES:To report the en bloc tumor excision, including the spinal cord, for telangiectatic osteosarcoma, and discuss the indication of cord transection and influence after...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000200132.59292.4b

    authors: Murakami H,Tomita K,Kawahara N,Oda M,Yahata T,Yamaguchi T

    更新日期:2006-02-15 00:00:00

  • Radiotherapy and radiosurgery for metastatic spine disease: what are the options, indications, and outcomes?

    abstract:STUDY DESIGN:Systematic literature review. OBJECTIVE:To determine the options, indications, and outcomes for conventional radiotherapy and radiosurgery for metastatic spine disease. METHODS:Three research questions were determined through a consensus among a multidisciplinary panel of spine oncology experts. A system...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181b8b6f5

    authors: Gerszten PC,Mendel E,Yamada Y

    更新日期:2009-10-15 00:00:00

  • Magnetic resonance imaging in cadaver dogs with metallic vertebral implants at 3 Tesla: evaluation of the WARP-turbo spin echo sequence.

    abstract:STUDY DESIGN:Laboratory investigation, ex vivo. OBJECTIVE:Postoperative complications are common after spinal implantation procedures, and magnetic resonance imaging (MRI) would be the ideal modality to image these patients. Unfortunately, the implants cause artifacts that can render MRI nondiagnostic. The WARP-turbo ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a58b14

    authors: Griffin JF 4th,Archambault NS,Mankin JM,Wall CR,Thompson JA,Padua A Jr,Purdy D,Kerwin SC

    更新日期:2013-11-15 00:00:00

  • Etiology of spondylolisthesis. Assessment of the role played by lumbar facet joint morphology.

    abstract::This study examined the role of facet joint morphology in the etiology of both degenerative spondylolisthesis and isthmic spondylolysis. To this end, the axial facet joint morphology of the lower lumbar spine in a normal population and in populations of patients with spinal stenosis or degenerative spondylolisthesis a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Grobler LJ,Robertson PA,Novotny JE,Pope MH

    更新日期:1993-01-01 00:00:00

  • Posterior thoracic extrapedicular fixation: a biomechanical study.

    abstract:STUDY DESIGN:In vitro biomechanical testing of thoracic spine specimens using a standardized three-dimensional spine flexibility protocol. OBJECTIVES:To compare the mechanical stability of the intrapedicular and extrapedicular technique for pedicle screw placement. The hypothesis was that extrapedicular screw placemen...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000083280.72978.D1

    authors: Morgenstern W,Ferguson SJ,Berey S,Orr TE,Nolte LP

    更新日期:2003-08-15 00:00:00

  • Discrimination validity of the scoliosis research society-22 patient questionnaire: relationship to idiopathic scoliosis curve pattern and curve size.

    abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:To determine the discriminant validity of the Scoliosis Research Society-22 (SRS-22) health-related quality-of-life (HRQL) questionnaire for idiopathic scoliosis patients based on curve pattern and curve size. SUMMARY OF BACKGROUND DATA:An important psychometric...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200301010-00017

    authors: Asher M,Min Lai S,Burton D,Manna B

    更新日期:2003-01-01 00:00:00

  • Index level mobility after total lumbar disc replacement: is it beneficial or detrimental?

    abstract:STUDY DESIGN:Analysis of segmental and total lumbar range of motion (ROM) before and after total lumbar disc replacement. OBJECTIVE:To examine the relationship between absolute segmental and total lumbar ROM and evolution of ROM on clinical outcome. SUMMARY OF BACKGROUND DATA:At the moment, data are scarce with regar...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31819b213c

    authors: Cakir B,Schmidt R,Mattes T,Fraitzl CR,Reichel H,Käfer W

    更新日期:2009-04-20 00:00:00

  • Measurements of surgeons' exposure to ionizing radiation dose during intraoperative use of C-arm fluoroscopy.

    abstract:STUDY DESIGN:Measurement of radiation dose from C-arm fluoroscopy during a simulated intraoperative use in spine surgery. OBJECTIVE.: To investigate scatter radiation doses to specific organs of surgeons during intraoperative use of C-arm fluoroscopy in spine surgery and to provide practical intraoperative guidelines. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31824589d5

    authors: Lee K,Lee KM,Park MS,Lee B,Kwon DG,Chung CY

    更新日期:2012-06-15 00:00:00

  • Preoperative MRI analysis of patients with idiopathic scoliosis: a prospective study.

    abstract:STUDY DESIGN:A prospective trial of preoperative MRI study in patients with "idiopathic" scoliosis. OBJECTIVES:To investigate the prevalence of neural axis malformations and the clinical relevance of MRI in the evaluation of patients with idiopathic scoliosis undergoing surgical intervention. SUMMARY OF BACKGROUND DA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000149075.96242.0e

    authors: Inoue M,Minami S,Nakata Y,Otsuka Y,Takaso M,Kitahara H,Tokunaga M,Isobe K,Moriya H

    更新日期:2005-01-01 00:00:00

  • Biomechanical rationale for using polyetheretherketone (PEEK) spacers for lumbar interbody fusion-A finite element study.

    abstract:STUDY DESIGN:To determine the effect of cage/spacer stiffness on the stresses in the bone graft and cage subsidence. OBJECTIVE:To investigate the effect of cage stiffness on the biomechanics of the fused segment in the lumbar region using finite element analysis. SUMMARY OF BACKGROUND DATA:There are a wide variety of...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000250177.84168.ba

    authors: Vadapalli S,Sairyo K,Goel VK,Robon M,Biyani A,Khandha A,Ebraheim NA

    更新日期:2006-12-15 00:00:00

  • Prolonged upright posture induces degenerative changes in intervertebral discs in rat lumbar spine.

    abstract:STUDY DESIGN:Both forelimbs of rats were amputated, and these rats were kept in the custom-made cages that kept the rats in prolonged upright posture. Pathologic changes were observed in the lumbar spine at different time points after the surgery. OBJECTIVE:To investigate the effect of upright posture on intervertebra...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318183f949

    authors: Liang QQ,Zhou Q,Zhang M,Hou W,Cui XJ,Li CG,Li TF,Shi Q,Wang YJ

    更新日期:2008-09-01 00:00:00

  • Correlation of vertebral strength topography with 3-dimensional computed tomographic structure.

    abstract:STUDY DESIGN:Biomechanical and radiographical study. OBJECTIVE:To test the hypothesis that stiffness and strength at discrete sites of human lumbar vertebrae depend on the 3-dimentional structure and density of the vertebral-body bone elements, and can be evaluated using models based on vertebral bone characteristics ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31826c670d

    authors: Noshchenko A,Plaseied A,Patel VV,Burger E,Baldini T,Yun L

    更新日期:2013-02-15 00:00:00

  • A randomized clinical trial of manipulative therapy and interferential therapy for acute low back pain.

    abstract:STUDY DESIGN:A multicenter assessor-blinded randomized clinical trial was conducted. OBJECTIVES:To investigate the difference in effectiveness of manipulative therapy and interferential therapy for patients with acute low back pain when used as sole treatments and in combination. SUMMARY OF BACKGROUND DATA:Both manip...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.brs.0000142234.15437.da

    authors: Hurley DA,McDonough SM,Dempster M,Moore AP,Baxter GD

    更新日期:2004-10-15 00:00:00

  • Craniocervical junction subarachnoid hemorrhage associated with atlanto-occipital dislocation.

    abstract:STUDY DESIGN:The sensitivity of plain radiographs for diagnosing traumatic atlanto-occipital dislocation and its association with craniocervical junction subarachnoid hemorrhage was examined in a retrospective review of seven patients. OBJECTIVE:The purpose of this study was to demonstrate the frequency of nondiagnost...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199608010-00009

    authors: Przybylski GJ,Clyde BL,Fitz CR

    更新日期:1996-08-01 00:00:00

  • Mechanical stability of thoracolumbar pedicle screw fixation. The effect of crosslinks.

    abstract:STUDY DESIGN:Pedicle screw fixation for unstable thoracolumbar spine injuries is relatively new. The effect of one or two crosslinks on rotational and lateral bending stiffness was studied. OBJECTIVE:To determine the rotational and bending stiffness values of thoracolumbar fractures fixed by the AO's internal fixation...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199707150-00007

    authors: Lynn G,Mukherjee DP,Kruse RN,Sadasivan KK,Albright JA

    更新日期:1997-07-15 00:00:00

  • Efficacy of linezolid versus vancomycin in the treatment of methicillin-resistant Staphylococcus aureus discitis: a controlled animal model.

    abstract:STUDY DESIGN:A rabbit model was used to assess the efficacy of linezolid and vancomycin for the treatment of discitis due to methicillin-resistant Staphylococcus aureus (MRSA). Nontreated controls were used for comparison. OBJECTIVE:The purpose of this study was to determine if there was a therapeutic difference betwe...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000241065.19723.13

    authors: Conaughty JM,Chen J,Martinez OV,Chiappetta G,Brookfield KF,Eismont FJ

    更新日期:2006-10-15 00:00:00

  • Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?

    abstract:STUDY DESIGN:A prospective single blinded placebo controlled study was conducted. OBJECTIVE:To assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic nonspecific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181f5dfe0

    authors: Senna MK,Machaly SA

    更新日期:2011-08-15 00:00:00