Seminars in Spine Surgery
Volume 21, Issue 3 , Pages 161-166 , September 2009

Cerebrospinal Fluid Leaks in Anterior and Posterior Cervical Spine Surgery

  • Morgan N. Chen, MD
    • ,
  • James D. Kang, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to James D. Kang, MD, Department of Orthopaedic Surgery, University of Pittsburgh, Kaufmann Building, Suite 1010, 3471 Fifth Avenue, Pittsburgh, PA 15213

References 

  1. Eismont FJ, Wiesel SW, Rothman RH. Treatment of dural tears associated with spinal surgery. J Bone Joint Surg Am. 1981;63:1132–1136
  2. Finnegan WJ, Fenlin JM, Marvel JP, et al. Results of surgical intervention in the symptomatic multiply-operated back patient: analysis of sixty-seven cases followed for three to seven years. J Bone Joint Surg Am. 1989;61:1077–1082
  3. Jones AA, Stambough JL, Balderston RA, et al. Long term results of lumbar spine surgery complicated by unintended incidental durotomy. Spine. 1986;14:443–446
  4. Kitchel SH, Eismont FJ, Green BA. Closed subarachnoid drainage for management of cerebrospinal fluid leakage after an operation on the spine. J Bone Joint Surg Am. 1989;71:984–987
  5. Wang JC, Bohlman HH, Riew KD. Dural tears secondary to operations on the lumbar spine. J Bone Joint Surg Am. 1998;80:1728–1732
  6. Mustafa KH, Rihn J, Steele G, et al. Postoperative management protocol for incidental dural tears during degenerative lumbar spine surgery: a review of 3183 consecutive degenerative lumbar cases. Spine. 2006;31:2609–2613
  7. Fountas KN, Kapsalaki EZ, Johnston KW. Cerebrospinal fluid fistula secondary to dural tear in anterior cervical discectomy and fusion: case report. Spine. 2005;30:E277–E280
  8. Cammisa FP, Girardi FP, Sangani PK, et al. Incidental durotomy in spine surgery. Spine. 2000;25:2663–2667
  9. Bertalanffy H, Eggert HR. Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir (Wien). 1989;99:41–50
  10. Fielding JW. Complications of anterior cervical disk removal and fusion. Clin Orthop Relat Res. 1992;284:10–13
  11. Tew JM, Mayfield FH. Complications of surgery of the anterior cervical spine. Clin Neurosurg. 1976;23:424–434
  12. Graham JJ. Complications of cervical spine surgery (A five-year report on a survey of the membership of the Cervical Spine Research Society by the Morbidity and Mortality Committee). Spine. 1989;14:1046–1050
  13. Hannallah D, Lee JY, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery. J Bone Joint Surg Am. 2008;90:1101–1105
  14. In:  Young PA,  Young PH editor. Basic Clinical Neuroanatomy. Philadelphia, PA: Williams & Wilkins; 1997;
  15. Davson H, Segal MB. Physiology of the CSF and Blood Brain Barrier. Boca Raton, FL: CRC Press; 1996;
  16. Hodges SD, Humphreys SC, Eck JC, et al. Management of incidental durotomy without mandatory bedrest. Spine. 1999;24:2062–2064
  17. Smith MD, Bolesta MJ, Leventhal M, et al. Postoperative cerebrospinal fluid fistula associated with erosion of the dura (Findings after anterior resection of ossification of the posterior longitudinal ligament in the cervical spine). J Bone Joint Surg Am. 1992;74:270–277
  18. Belanger TA, Roh JS, Hanks SE, et al. Ossification of the posterior longitudinal ligament (Results of anterior cervical decompression and arthrodesis in sixty-one North American patients). J Bone Joint Surg Am. 2005;87:610–615
  19. Narotam PK, José S, Nathoo N, et al. Collagen matrix (Duragen) in dural repair: analysis of a new modified technique. Spine. 2004;29:2861–2869
  20. Kanamori M, Kawaguchi Y, Ohmaori K, et al. The fate of autogenous free-fat grafts after posterior lumbar surgery: part 2. Magnetic resonance imaging and histologic studies in repeated surgery cases. Spine. 2001;26:2264–2270
  21. Kanamori M, Kawaguchi Y, Ohmaori K, et al. The fate of autogenous free-fat grafts after posterior lumbar surgery: part 1. A postoperative serial magnetic resonance imaging study. Spine. 2001;26:2258–2263
  22. Bosacco SJ, Gardner MJ, Guille JT. Evaluation and treatment of dural tears in lumbar spine surgery: a review. Clin Orthop Relat Res. 2001;389:238–247
  23. Shaffrey CI, Spotnitz WD, Shaffrey ME, et al. Neurosurgical applications of fibrin glue: augmentation of dural closure in 134 patients. Neurosurgery. 1990;26:207–210
  24. Cain JE, Dryer RF, Barton BR. Evaluation of dural closure techniques: suture methods, fibrin adhesive sealant, and cyanoacrylate polymer. Spine. 1988;13:720–725
  25. Joch C. The safety of fibrin sealants. Cardiovasc Surg. 2003;11:23–28(suppl 1)
  26. Skedros DG, Cass SP, Hirsch BE, et al. Beta-2 transferrin assay in clinical management of cerebral spinal fluid and perilymphatic fluid leaks. J Otolaryngol. 1993;22:341–344

PII: S1040-7383(09)00044-6

doi: 10.1053/j.semss.2009.05.004

Seminars in Spine Surgery
Volume 21, Issue 3 , Pages 161-166 , September 2009

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