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首页> 外文期刊>Neurosurgical focus >Management of cerebrospinal fluid leaks after anterior decompression for ossification of the posterior longitudinal ligament: a review of the literature.
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Management of cerebrospinal fluid leaks after anterior decompression for ossification of the posterior longitudinal ligament: a review of the literature.

机译：前减压后后纵韧带骨化的脑脊液漏的处理：文献综述。

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Anterior decompression is an effective way to treat cervical myelopathy associated with ossification of the posterior longitudinal ligament (OPLL); however, this approach is associated with an increased risk of a dural tear and resultant CSF leak because fusion of the dura with the ossified PLL is common in these cases. The authors review the literature and present an algorithm for treatment of CSF leaks in these patients. A MEDLINE review was performed to identify papers related to CSF leak after anterior decompression for OPLL, and data were summarized to identify treatment options for various situations. A treatment algorithm was identified based on these findings and the experience of the authors. Eleven studies were identified that presented data on intra- and postoperative management of a CSF leak during ventral surgery for OPLL. The incidence of cervical dural tears and CSF leaks after anterior decompression procedures for OPLL ranged from 4.3% to 32%. Techniques including preventative measures, intraoperative dural repair with various materials, and postoperative drainage or shunt placement have all been used. Although direct dural repair is the preferred treatment for CSF leak, this technique is not always technically possible. In these cases, intraoperative adjuncts in combination with postoperative measures can be used to decrease the pressure gradient across the dural tear.
机译：前路减压是治疗与后纵韧带骨化（OPLL）相关的颈椎病的有效方法。但是，这种方法会增加硬脑膜撕裂和导致CSF泄漏的风险，因为在这些情况下，硬脑膜与骨化PLL融合是常见的。作者回顾了文献并提出了治疗这些患者脑脊液漏的算法。进行MEDLINE审查以确定OPLL前减压后与CSF渗漏有关的论文，并对数据进行汇总以识别各种情况的治疗方案。根据这些发现和作者的经验确定了一种处理算法。确定了11项研究，这些研究提供了OPLL腹腔手术期间脑脊液漏诊期间和术后处理的数据。 OPLL前路减压手术后颈硬脑膜撕裂和脑脊液漏的发生率在4.3％至32％之间。包括预防措施，术中使用各种材料进行硬膜修复以及术后引流或分流放置的技术均已使用。尽管直接硬脑膜修补术是治疗CSF渗漏的首选方法，但该技术在技术上并不总是可行的。在这些情况下，术中辅助措施结合术后措施可用于降低硬脑膜撕裂的压力梯度。

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    《Neurosurgical focus》 |2011年第3期|共1页
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  • 正文语种 eng
  • 中图分类 外科学;
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