The Use of Vessel Loop Shoelace Technique for Closure of Wound Dehiscence Caused by Dural Tears Associated with Distractive Flexion Injury of Cervical Spine.
10.4184/jkss.2015.22.3.109
- Author:
Hong Moon SOHN
1
;
Jae Won YOU
;
Sang Soo PARK
;
Bo Seon KIM
Author Information
1. Department of Orthopaedic Surgery, School of Medicine, Chosun University, Gwangju, Korea. wwwpibak@daum.net
- Publication Type:Case Report
- Keywords:
Distractive-flexion injury;
Dural tear;
Wound dehiscence;
Shoelace technique
- MeSH:
Accidents, Traffic;
Adolescent;
Ambulatory Care Facilities;
Dislocations;
Humans;
Length of Stay;
Male;
Neurologic Manifestations;
Spine*;
Sutures;
Tears*;
Wounds and Injuries*
- From:Journal of Korean Society of Spine Surgery
2015;22(3):109-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A case report. OBJECTIVES: To report the use of the shoelace technique for treatment of wound dehiscence caused by dural tears. SUMMARY OF LITERATURE REVIEW: It is difficult to treat wound dehiscence caused by dural tears, as it can lead to infection, loss of soft tissue, and need for a long hospital stay. MATERIALS AND METHODS: An 18-year-old male who had been injured in a traffic accident was diagnosed with bilateral facet dislocation of C7-T1, with no neurologic deficit. Clear secretion appeared during the operation, but it disappeared after posterior fusion. The wound began to open about 3 weeks after the operation. We used the vessel loop shoelace technique to suture the wound. RESULTS: The patient had the stitches taken out in the outpatient clinic three weeks after suture. His wounds are healing without complication. CONCLUSIONS: The vessel loop shoelace technique may be a useful treatment for wound dehiscence caused by dural tears.
