Postoperative Cervical Cord Compression Induced by Hydrogel Dural Sealant (DuraSeal®).

Postoperative Cervical Cord Compression Induced by Hydrogel Dural Sealant (DuraSeal®).
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DOI:
10.14245/kjs.2013.10.1.44
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发表时间:
2013-03
期刊:
Korean Journal of Spine
影响因子:
--
通讯作者:
Kim WK
Kim WK
中科院分区:
其他
文献类型:
--
作者:
Lee SH;Park CW;Lee SG;Kim WK

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脑脊液(CSF)漏是颅脑脊椎手术的潜在并发症。术后脑脊液漏可导致延迟愈合、伤口感染和脑膜炎。DuraSeal®(美国马萨诸塞州沃尔瑟姆Covidien)是一种合成产品,越来越多地被用于促进颅脑和脊柱手术后硬脑膜缺陷的水密修复。尽管Durasal®有一些优点,但作者报告了一例在颈椎手术中使用DuraSeal®后出现脐带压迫的患者,其中DuraSeal®的扩张被认为是原因之一。
Cerebrospinal fluid (CSF) leakage is a potential complication of cranial and spinal surgery. Postoperative CSF leakage can induce delayed healing, wound infection and meningitis. DuraSeal® (Covidien, Waltham, MA, USA) is a synthetic product which has been increasingly used to facilitate watertight repair of dural defects after cranial and spinal surgery. Despite some advantages of Duraseal®, the authors report a patient who developed cord compression following the use of DuraSeal® in cervical spine surgery in which the expansion of the DuraSeal® was believed to be the causative factor.