Perioperative lumbar subarachnoid drainage could not prevent postoperative CSF leakage after spinal cord tumor resection using an artificial dura mater |
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| Affiliation: | 1. College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia;2. King Abdullah International Medical Research Center, Jeddah, Saudi Arabia;3. Department of Surgery/Orthopedic Section, King Abdulaziz Medical City, Jeddah, Saudi Arabia;1. Graduate School of Global and Transdisciplinary Studies, Chiba University, Chiba, Japan;2. Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba, Japan;3. Department of Japanese Language and Literature, University of the Sacred Heart, Tokyo, Japan;4. College of Liberal Arts and Sciences, Chiba University, Chiba, Japan;1. Department of Orthopaedic Surgery, Kudanzaka Hospital, 1-6-12 Kudan-minami, Chiyoda-ku, Tokyo, 102-0074, Japan;2. Department of Orthopaedic Surgery, Graduate School, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan;1. Department of Orthopaedic Surgery, Aichi Medical University, Japan;2. Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, Japan;3. Department of Orthopaedic Surgery, Asahi Hospital, Japan;4. Department of Orthopaedic Surgery, Hiroshima University, Japan |
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| Abstract: | BackgroundCerebrospinal fluid (CSF) leakage occurs in patients who undergo dural repair using artificial dura mater. This study aimed to determine if perioperative lumbar subarachnoid drainage could reduce the incidence of postoperative CSF leakage in cases of dural repair using artificial dura mater.MethodsWe retrospectively analyzed 84 patients (41 men, 43 women; mean age, 52.2 ± 20.1 years) who underwent intradural spinal cord tumor resection and dural repair using artificial dura mater. These patients were divided according to whether they underwent perioperative lumbar subarachnoid drainage (39 patients: D group) or had no drainage (45 patients: ND group). The incidence of radiographic and symptomatic CSF leakage as well as baseline characteristics and operative data were compared between the two groups.ResultsRadiographic CSF leakage was observed in 21 patients (25.0%), including 10 (25.6%) in the D group and 11 (24.4%) in the ND group. Symptomatic CSF leakage was observed in 12 patients (14.2%), including six (15,4%) in the D group and 11 (13.3%) in the ND group. There were no significant differences in the incidence of subcutaneous CSF accumulation and symptomatic CSF leakage between the two groups. In cases with symptomatic CSF leakage, the onset time of CSF leakage tended to be earlier (5.7 days vs 15.7 days), and the treatment period tended to be longer (5.8 weeks vs 2.8 weeks) in the ND group than in the D group.ConclusionsPerioperative lumbar subarachnoid drainage did not reduce the incidence of either radiographic or symptomatic CSF leakage. However, it might shorten the treatment period and reduce refractory CSF leakage, which requires multiple treatments over a long period. |
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| Keywords: | Cerebrospinal fluid leakage Lumbar subarachnoid drainage Spinal cord tumor Complication Artificial dura mater |
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