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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
1   Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany
,
Sergej Rot
1   Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany
,
Pawel Gutowski
2   Department of Neurosurgery, Brodno Masovian Hospital, Warsaw Postgraduate Medical Centre, Warsaw, Poland
,
Lutz Kreißl
3   Department of Radiology and Neuroradiology, Unfallkrankenhaus Berlin, Berlin, Germany
,
Johannes Lemcke
1   Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany
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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


Publication History

Received: 29 December 2019

Accepted: 12 March 2020

Article published online:
04 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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