Liquorrhea during cervical spondylodesis
Abstract
Objective: to perform the analysis of literature data dedicated to the problem of postoperative liquorrhea during cervical fusion as well as to treatment strategy and the possibilities for prevention of such complication.
Material and methods: We searched through such databases as PubMed (http://www.ncbi.nlm.nih.gov/pubmed), Еlibrary (http://elibrary.ru) and archives of journal «Neurokhirurgia. The Russian journal of neurosurgery» and «Hirurgia Pozvonochnika».
Results: The damages of dura mater (DM) during operations of cervical spine (CS) jccur at 0,4–6,3% patients according to literature data. The negative consequences could be avoided in case of intraoperative diagnosis of this complication which observed in most reports that allows performing the adequate manipulations for primary prevention of wound liquorrhea, otherwise the repeated operations are required. The most authors mention the following risk factors for DM damage such complicated spinal trauma, rheumatoid arthritis, elderly age, severe kyphotic deformation of cervical spine and repeated operations. The DM damages are the most often occurred during usage of high-speed drill, ultrasound bone knife, rongeurs, scraping curettes as well as during electrocoagulation applying intimately close to DM.
Conclusion: Nowadays predominately retrospective literature reviews with few numbers of cases are dedicated to the problem of postoperative liquorrhea during cervical fusion. The large prospective multicenter trials are required for development of optimal algorithm for prevention and treatment of postoperative liquorrhea during cervical fusion.
About the Authors
D. S. Kasatkin
Государственное учреждение здравоохранения г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского» Департамента здравоохранения г. Москвы
Russian Federation
Russian Federation
A. A. Grin’
Государственное учреждение здравоохранения г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского» Департамента здравоохранения г. Москвы
Russian Federation
Russian Federation
A. Z. Shalumov
Государственное учреждение здравоохранения г. Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского» Департамента здравоохранения г. Москвы
Russian Federation
Russian Federation
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Review
For citations:
Kasatkin D.S., Grin’ A.A., Shalumov A.Z. Liquorrhea during cervical spondylodesis. Russian journal of neurosurgery. 2017;(3):96-101. (In Russ.)
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