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KMID : 0388720150220030109
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Journal of Korean Society of Spine Surgery
2015 Volume.22 No. 3 p.109 ~ p.113
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The Use of Vessel Loop Shoelace Technique for Closure of Wound Dehiscence Caused by Dural Tears Associated with Distractive Flexion Injury of Cervical Spine
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:Sohn Hong-Moon
:You Jae-Won/:Park Sang-Soo/:Kim Bo-seon
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Abstract
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Study Design : A case report.
Objectives : To report the use of the shoelace technique for treatment of wound dehiscence caused by dural tears.
Summary of Literature Review : It is difficult to treat wound dehiscence caused by dural tears, as it can lead to infection, loss of soft tissue, and need for a long hospital stay.
Materials and Methods : An 18-year-old male who had been injured in a traffic accident was diagnosed with bilateral facet dislocation of C7-T1, with no neurologic deficit. Clear secretion appeared during the operation, but it disappeared after posterior fusion. The wound began to open about 3 weeks after the operation. We used the vessel loop shoelace technique to suture the wound.
Results : The patient had the stitches taken out in the outpatient clinic three weeks after suture. His wounds are healing without complication.
Conclusions : The vessel loop shoelace technique may be a useful treatment for wound dehiscence caused by dural tears.
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KEYWORD
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Distractive-flexion injury, Dural tear, Wound dehiscence, Shoelace technique
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