Step Back in Order to Go Forward: Willful Enlargement and Sandwich Closure Technique for Spinal Dura Repair after Several Unsuccessful Closure Attempts

Maximilian Sitz; Sergej Rot; Pawel Gutowski; Lutz Kreißl; Johannes Lemcke

doi:10.1055/s-0040-1721020

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

J Neurol Surg A Cent Eur Neurosurg 2022; 83(01): 066-068
DOI: 10.1055/s-0040-1721020

Technical Note

Step Back in Order to Go Forward: Willful Enlargement and Sandwich Closure Technique for Spinal Dura Repair after Several Unsuccessful Closure Attempts

Maximilian Sitz

¹Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany

,

Sergej Rot

¹Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany

,

Pawel Gutowski

²Department of Neurosurgery, Brodno Masovian Hospital, Warsaw Postgraduate Medical Centre, Warsaw, Poland

,

Lutz Kreißl

³Department of Radiology and Neuroradiology, Unfallkrankenhaus Berlin, Berlin, Germany

,

Johannes Lemcke

¹Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany

› Author Affiliations

Abstract

A CSF leak is a common complication in spine surgery which is usually closed effectivly by suture and/or epidural patches. There is currently no algorithm to treat a recurrent CSF leak that fails to be closed initially. We describe the case of a recurrent cerebrospinal fluid leak that we have successfully treated using an inlay-onlay dural repair technique.

Keywords

CSF leak - spine surgery - Tachosil - dural repair - recurrent CSF leak

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References

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