The Administration of Cerebrospinal Fluid Leak After Anterior Cervical Decompression Surgical procedure.
Orthopedics. 2018 Feb 16;:1-6
Authors: Zhai J, Panchal RR, Tian Y, Wang S, Zhao L
Cerebrospinal fluid (CSF) leak is a uncommon however probably troublesome and sometimes catastrophic complication after anterior cervical decompression surgical procedure. There’s restricted literature describing this complication, and the administration of CSF leak varies. The purpose of this examine was to retrospectively assessment the remedy of instances with CSF leak and develop a administration algorithm. A collection of 14 sufferers with CSF leak from January 2011 to Could 2016 have been included on this examine. Their traits, administration of CSF leak, and outcomes have been documented. There have been 5 male and 9 feminine sufferers. Imply age at surgical procedure was 57.1±9.9 years (vary, 37-76 years). All cases of CSF leak, besides 1 famous postoperatively, have been not directly repaired intraoperatively. A closed straight wound drain was positioned for all sufferers. A lumbar subarachnoid drain was positioned instantly after surgical procedure in four sufferers and postoperatively in 7 sufferers. In 1 affected person, lumbar drain placement was unsuccessful. In 2 further sufferers, the surgeon determined to not place a lumbar drain. One affected person developed meningitis and recovered after antibiotic remedy with meropenem and vancomycin. One other affected person had a deep wound an infection and required a revision surgical procedure. Wound drains and lumbar drains ought to be instantly thought of when CSF leak is recognized. Antibiotics additionally ought to be thought of to stop intradural an infection. [Orthopedics. 201x; xx(x):xx-xx.].
PMID: 29451938 [PubMed – as supplied by publisher]