9/21/2023 0 Comments Cervical spine csf leak mri![]() No meningitis or persistent headaches were reported, and there was no need for lumbar drain placement at any time postoperatively. Likewise, there was no evidence of cord compression or neurologic deficits. In all 8 cases, there were no cases of wound dehiscence or CSF leak using this strategy. Finally, a wound drain was anchored to a biologic bag for shoulder level passive drainage. Anterior instrumentation was then performed. Then the interbody graft used was manually undersized in the anteroposterior dimension to allow for expansion of the agents used. First, CSF was drained to low pressure, and durotomy was covered by dural substitute and sealant agent. Patients had ossification of the posterior longitudinal ligament, intradural disk herniation, or dural ectasia. Herein, we describe 8 consecutive patients who underwent intraoperative repair of CSF leak, with no postoperative evidence of wound dehiscence or drainage.Ī retrospective review was performed on 8 cases where CSF leak was encountered during an anterior cervical spine surgery. These leaks can be difficult to manage given the limited field of view and lack of deep access. Cerebrospinal fluid (CSF) leak during anterior cervical spine surgery can lead to complications, including wound breakdown, meningitis, headaches, need for lumbar drain, or additional surgery. ![]()
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