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KMID : 0388720160230030171
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Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 3 p.171 ~ p.176
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Indirect Repair with Surgicel® and Fibrin Glue for Postoperative Cerebrospinal Fluid Leakage after Cervical Anterior Foraminotomy: A Case Report
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Choi Dong-Hyuk
Lee Ji-Won
Kim Chel-Hwan
Choi Yong-Soo
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Abstract
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Study Design: A case report.
Objectives: To report a case of indirect repair of cerebrospinal fluid (CSF) leakage after cervical anterior foraminotomy using Surgicel® and fibrin glue.
Summary of Literature Review: There is no single modality that is best practice for this type of case because it is difficult to apply primary repair for a case of CSF leakage after cervical anterior decompression.
Materials and Methods: A 49-year-old female patient was diagnosed with CSF leakage on the second day after cervical anterior foraminotomy. We performed coverage with Surgicel® and fibrin glue at the CSF leak site.
Results: The patient was treated with indirect repair of CSF leakage without any complications. The clinical and radiological outcomes were excellent upon follow-up 1 year postoperatively.
Conclusions: Indirect repair using Surgicel® and fibrin glue is an effective treatment for postoperative CSF leakage after cervical anterior foraminotomy.
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KEYWORD
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Cervical spine, Anterior decompression, CSF leakage
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