Rare Complications of Cervical Spine Surgery: Pseudomeningocoele

被引：5

作者：

Ailon, Tamir ^{[1
]}

Smith, Justin S. ^{[2
]}

Nassr, Ahmad ^{[3
]}

Smith, Zachary A. ^{[4
]}

Hsu, Wellington K. ^{[4
]}

Fehlings, Michael G. ^{[5
]}

Fish, David E. ^{[6
]}

Wang, Jeffrey C. ^{[7
]}

Hilibrand, Alan S. ^{[8
]}

Mummaneni, Praveen V. ^{[9
]}

Chou, Dean ^{[9
]}

Sasso, Rick C. ^{[10
]}

Traynelis, Vincent C. ^{[11
]}

Arnold, Paul M. ^{[12
]}

Mroz, Thomas E. ^{[13
]}

Buser, Zorica ^{[14
]}

Lord, Elizabeth L. ^{[6
]}

Massicotte, Eric M. ^{[5
,15
]}

Sebastian, Arjun S. ^{[3
]}

Than, Khoi D. ^{[16
]}

Steinmetz, Michael P. ^{[17
]}

Smith, Gabriel A. ^{[18
]}

Pace, Jonathan ^{[18
]}

Corriveau, Mark ^{[19
]}

Lee, Sungho ^{[18
]}

Riew, K. Daniel ^{[20
,21
]}

Shaffrey, Christopher ^{[2
]}

机构：

[1] Univ British Columbia, Vancouver, BC, Canada

[2] Univ Virginia, POB 800212, Charlottesville, VA 22908 USA

[3] Mayo Clin, Rochester, MN 55902 USA

[4] Northwestern Univ, Feinberg Sch Med, Evanston, IL 60208 USA

[5] Toronto Western Hosp, Toronto, ON, Canada

[6] UCLA Spine Ctr, Los Angeles, CA 90401 USA

[7] USC Spine Ctr, Los Angeles, CA 90033 USA

[8] Jefferson Med Coll, Rothman Inst, Philadelphia, PA 19107 USA

[9] Univ Calif San Francisco, San Francisco, CA 94143 USA

[10] Indiana Univ, Indianapolis, IN 47405 USA

[11] Rush Univ Med Ctr, Kansas City, KS 60612 USA

[12] Kansas Univ Med Ctr, Kansas City, KS 66160 USA

[13] Cleveland Clin, Cleveland, OH 44195 USA

[14] Univ Southern Calif, Los Angeles, CA 90007 USA

[15] Univ Toronto, Toronto, ON, Canada

[16] Oregon Hlth & Sci Univ, Portland, OR 97239 USA

[17] Cleveland Clin Fdn, Cleveland, OH 44195 USA

[18] Univ Hosp Case Med Ctr, Madison, OH 44106 USA

[19] Univ Wisconsin Hosp & Clin, Madison, WI 53792 USA

[20] Columbia Univ, New York, NY 10027 USA

[21] New York Presbyterian Allen Hosp, New York, NY 10034 USA

来源：

GLOBAL SPINE JOURNAL | 2017年 / 7卷

关键词：

pseudomeningocoele; cervical spine; retrospective; multicenter; CEREBROSPINAL-FLUID; CORD COMPRESSION; HERNIATION; DRAINAGE;

D O I：

10.1177/2192568216687769

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design: This study was a retrospective, multicenter cohort study. Objectives: Rare complications of cervical spine surgery are inherently difficult to investigate. Pseudomeningocoele (PMC), an abnormal collection of cerebrospinal fluid that communicates with the subarachnoid space, is one such complication. In order to evaluate and better understand the incidence, presentation, treatment, and outcome of PMC following cervical spine surgery, we conducted a multicenter study to pool our collective experience. Methods: This study was a retrospective, multicenter cohort study of patients who underwent cervical spine surgery at any level(s) from C2 to C7, inclusive; were over 18 years of age; and experienced a postoperative PMC. Results: Thirteen patients (0.08%) developed a postoperative PMC, 6 (46.2%) of whom were female. They had an average age of 48.2 years and stayed in hospital a mean of 11.2 days. Three patients were current smokers, 3 previous smokers, 5 had never smoked, and 2 had unknown smoking status. The majority, 10 (76.9%), were associated with posterior surgery, whereas 3 (23.1%) occurred after an anterior procedure. Myelopathy was the most common indication for operations that were complicated by PMC (46%). Seven patients (53%) required a surgical procedure to address the PMC, whereas the remaining 6 were treated conservatively. All PMCs ultimately resolved or were successfully treated with no residual effects. Conclusions: PMC is a rare complication of cervical surgery with an incidence of less than 0.1%. They prolong hospital stay. PMCs occurred more frequently in association with posterior approaches. Approximately half of PMCs required surgery and all ultimately resolved without residual neurologic or other long-term effects.

引用

页码：1095 / 1145

页数：6

共 21 条

[1]

Andrew SA, 2005, J SPINAL DISORD TECH, V18, P290

[2] PROGRESSIVE NEUROLOGICAL DYSFUNCTION SECONDARY TO POST-OPERATIVE CERVICAL PSEUDOMENINGOCELE IN A C-4 QUADRIPLEGIC - CASE-REPORT [J].