Comparison of various drainage methods for postoperative cerebrospinal fluid leakage in cervical vertebra

doi:10.3969/j.issn.2095-4344.2013.48.019

Abstract

Abstract:

BACKGROUND: Numerous studies have demonstrated various therapeutic methods for cerebrospinal fluid leakage after spinal column surgery, including intraoperative and postoperative measures. Few studies addressed the therapeutic methods of cerebrospinal fluid leakage after cervical vertebra surgery using lumbar subarachnoid catheter drainage.
OBJECTIVE: To evaluate the therapeutic efficacy of sustainable drainage and lumbar subarachnoid catheter drainage for cervical postoperative cerebrospinal fluid leakage.
METHODS: 923 patients underwent cervical spine surgery in the Department of Spinal Surgery, the First Affiliated Hospital of Xinjiang Medical University, China from June 2009 to October 2012. There were 24 cases of postoperative cerebrospinal fluid leakage with an incidence of cerebrospinal fluid leakage of 2.6% (24/923). The dural laceration that could not be repaired or be found induced cerebrospinal fluid leakage. Of them, 12 cases received lumbar subarachnoid catheter drainage (catheter group), and 12 cases received sustainable drainage (drainage group).
RESULTS AND CONCLUSION: Compared with the drainage group, the duration of cerebrospinal fluid leakage was significantly shorter in the catheter group (P < 0.05). In the catheter group, one case affected cerebrospinal fluid infection. In the drainage group, two cases experienced cerebrospinal fluid cyst and one case suffered from cerebrospinal fluid infection. They were cured by symptomatic treatment. A total of 24 cases were followed up for 9-12 months. None of them affected cerebrospinal fluid leakage, cerebrospinal fluid infection or cerebrospinal fluid cyst. Results demonstrated that lumbar subarachnoid catheter drainage in the treatment of cervical postoperative cerebrospinal fluid leakage has a good effect.

Key words: cervical vertebrae, wounds and injuries, subarachnoid space, drainage

CLC Number:

R318

Ma Liang, Sheng Wei-bin, Deng Qiang. Comparison of various drainage methods for postoperative cerebrospinal fluid leakage in cervical vertebra[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(48): 8413-8418.

Figures/Tables 4

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