Indirect Repair with Surgicel® and Fibrin Glue for Postoperative Cerebrospinal Fluid Leakage after Cervical Anterior Foraminotomy: A Case Report.
10.4184/jkss.2016.23.3.171
- Author:
Dong Hyuk CHOI
1
;
Ji Won LEE
;
Chel Hwan KIM
;
Yong Soo CHOI
Author Information
1. Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea. stemcellchoi@gmail.com
- Publication Type:Case Report
- Keywords:
Cervical spine;
Anterior decompression;
CSF leakage
- MeSH:
Cerebrospinal Fluid Leak*;
Cerebrospinal Fluid*;
Decompression;
Female;
Fibrin Tissue Adhesive*;
Fibrin*;
Follow-Up Studies;
Foraminotomy*;
Humans;
Middle Aged;
Practice Guidelines as Topic
- From:Journal of Korean Society of Spine Surgery
2016;23(3):171-176
- CountryRepublic of Korea
- Language:Korean
-
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.
