Owing to the complexity of spinal surgery, there is a great prevalence of dural tear causing cerebrospinal fluid (CSF) leakage. Many studies focused on suture repair for dural tear to stop CSF leak. Now some new treatment strategies have shown a ...

2019年3月30日 · Injuries to the dura, if not adequately repaired, can lead to a persistent leak of cerebrospinal fluid (CSF) out from where it belongs – this is because the spinal fluid is under greater pressure than the surrounding tissue.

Treatment for spinal CSF leaks An epidural blood patch (EBP) or epidural fibrin patch (EFP) is often the first treatment for a spinal CSF leak. An EBP, which uses the patient’s own blood, can be applied at the location of the leak if known (targeted), or in the lower back when the leak location is unknown (nontargeted).

2023年11月21日 · There are several types of surgical treatments that repair CSF leaks. Surgery may involve repairing the CSF leak with stitches or grafts made from patches of muscle or fat. Trans-venous embolization. This minimally invasive procedure is used only for CSF-venous fistulas. CSF-venous fistulas are irregular connections that occur in the spine and ...

2020年12月1日 · Cerebrospinal fluid (CSF) leakage is a hazardous complication after spine surgeries. Although most CSF leakages occur because of intraoperative dural tears, there are several reports that delayed CSF leakage occurred with undetected dural tears during surgery, which is known as occult dural tears (ODT).

Epidural patching with fibrin sealant may be directed at a known or suspected leak location, or a surgical repair may be the best option. Surgical repairs of spinal CSF leaks have good success rates in the hands of experienced neurosurgeons, but a subset of patients have persistent symptoms and associated disability.

2015年3月13日 · A cerebrospinal fluid (CSF) leak can occur after trauma, surgery or idiopathically. With respect to spine surgery, any dural opening has the potential for a CSF leak. CSF leakage can be seen with anterior or posterior approaches.

Healthcare professionals and patients undergoing spinal surgery should be aware of late presentation CSF leaks. Our case report demonstrates a CSF leak due to cage subsidence with progressive kyphosis causing screw penetration; this required urgent work-up …

Cerebrospinal fluid (CSF) leak is a common complication of surgery involving the lumbar spine. However, although there are various therapeutic options for CSF leak, there is currently no optimal technique, and the choice of therapy often depends on …

Purpose: Postoperative CSF leak is a known complication of spinal surgery especially after surgery for neural tube defects (NTD). The problem can metamorphose into a severe infection. This article hopes to shed some light on the management of these problems and suggests precautions so as to reduce their occurrence.