Indirect Repair with Surgicel® and Fibrin Glue for Postoperative Cerebrospinal Fluid Leakage after Cervical Anterior Foraminotomy - A Case Report - (경추 전방 추간공 감압 수술 후 뇌척수액 누출의 Surgicel®과 Fibrin glue를 이용한 간접 봉합 - 증례 보고 -)

Dong-Hyuk Choi (최동혁); 이지원; 김철환; 최용수

Indirect Repair with Surgicel® and Fibrin Glue for Postoperative Cerebrospinal Fluid Leakage after Cervical Anterior Foraminotomy - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2016, 23(3), pp.171-176
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Dong-Hyuk Choi ¹, 이지원 ¹, 김철환 ¹, 최용수 ¹

¹광주기독병원 정형외과

Accredited

ABSTRACT

Study Design: A case report. Objectives: To report a case of indirect repair of cerebrospinal fluid (CSF) leakage after cervical anterior foraminotomy using Surgicel® and fibrin glue. Summary of Literature Review: There is no single modality that is best practice for this type of case because it is difficult to apply primary repair for a case of CSF leakage after cervical anterior decompression. Materials and Methods: A 49-year-old female patient was diagnosed with CSF leakage on the second day after cervical anterior foraminotomy. We performed coverage with Surgicel® and fibrin glue at the CSF leak site. Results: The patient was treated with indirect repair of CSF leakage without any complications. The clinical and radiological outcomes were excellent upon follow-up 1 year postoperatively. Conclusions: Indirect repair using Surgicel® and fibrin glue is an effective treatment for postoperative CSF leakage after cervical anterior foraminotomy.

KEYWORDS

Cervical spine, Anterior decompression, CSF leakage

Citation status

* References for papers published after 2023 are currently being built.

[journal] Fountas KN / 2007 / Anterior cervical discectomy and fusion associated complications / Spine 32 : 2310~2317

[journal] Fountas KN / 2005 / Cerebrospinal fluid fistula secondary to dural tear in anterior cervical discectomy and fusion: case report / Spine 30 : E277~E280

[journal] Spennato P / 2007 / Retropharyngeal cerebrospinal fluid collection as a cause of postoperative dysphagia after anterior cervical discectomy / Surg Neurol 67 : 499~503

[journal] Schaberg MR / 2007 / Cerebrospinal fluid leak after anterior cervical disc fusion: an unusual cause of dysphagia and neck mass / Laryngoscope 117 : 1899~1901

[journal] Penberthy A / 1998 / Recurrent acute upper airway obstruction after anterior cervical fusion / Anaesth Intensive Care 26 : 305~307

[journal] Hannallah D / 2008 / Cerebrospinal fluid leaks following cervical spine surgery / J Bone Joint Surg Am 90 : 1101~1105

[journal] Hart DJ / 2005 / Anterior cervical spinal cord tethering after anterior spinal surgery: case report / Neurosurgery 56 : E414~

[journal] Thavarajah D / 2010 / Postoperative cervical cord compression induced by hydrogel (DuraSeal):a possible complication / Spine 35 : E25~E26

[journal] Syre P / 2014 / Cerebrospinal fluid leaks and their management after anterior cervical discectomy and fusion: a report of 13 cases and a review of the literature / Spine 39 : E936~E943

[journal] Sawamura Y / 1999 / Evaluation of application techniques of fibrin sealant to prevent cerebrospinal fluid leakage: a new device for the application of aerosolized fibrin glue / Neurosurgery 44 : 332~337

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03