Commentary: Safety of Early Mobilization in Patients With Intra-Operative Cerebrospinal Fluid Leak in Minimally Invasive Spine Surgery: A Case Series

2021 ◽  
Author(s):  
Dean Chou
Keyword(s):  
Cerebrospinal Fluid ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Case Series ◽  
Early Mobilization ◽  
Cerebrospinal Fluid Leak ◽  
Minimally Invasive Spine Surgery ◽  
Minimally Invasive Spine ◽  
Fluid Leak

Safety of Early Mobilization in Patients With Intraoperative Cerebrospinal Fluid Leak in Minimally Invasive Spine Surgery: A Case Series

2021 ◽  
Author(s):  
Majid Aljoghaiman ◽  
Yosef Ellenbogen ◽  
Radwan Takroni ◽  
Kaiyun Yang ◽  
Forough Farrokhyar ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Minimally Invasive ◽  
Spine Surgery ◽  
Subdural Hematoma ◽  
Case Series ◽  
Early Mobilization ◽  
Cerebrospinal Fluid Leak ◽  
Minimally Invasive Spine Surgery ◽  
Csf Leak ◽  
Minimally Invasive Spine

Abstract BACKGROUND Cerebrospinal fluid (CSF) leak is a common complication in spine surgery. Repairing durotomy is more difficult in the setting of minimally invasive spine surgery (MISS). Efficacy of postoperative bed rest in case of dural tear in MISS is not clear. OBJECTIVE To assess the safety and efficacy of our protocol of dura closure without changing access, early mobilization, and discharge in cases of intraoperative CSF leak in MISS. METHODS A retrospective review from 2006 to 2018 of patients who underwent MISS for degenerative and neoplastic diseases with documented accidental or intentional durotomy was conducted. The primary outcome of interest was readmission rate for repair of persistent CSF leak. Secondary outcomes captured included development of pseudomeningocele, positional headache, and subdural hematoma. RESULTS A total of 80 patients were identified out of 527 patients. Of these, intentional durotomy was performed in 28 patients and unintentional durotomy occurred in 52 patients. Mean follow-up period was 80.6 mo. Most of the patients were discharged on postoperative day 0 (within 4 h of surgery) without activity restrictions. A total of 2 (2.5%) patients required readmission and dural repair for continuous CSF leak and 3 patients (3.75%) developed pseudomeningocele. No lumbar drain insertion, meningitis, or subdural hematoma was reported. CONCLUSION Early mobilization and discharge in cases of intraoperative CSF leak in MISS appear to be safe and not associated with higher rate of complications than that of reported literature.

scholarly journals Minimally invasive spine surgery in the pediatric and adolescent population: A case series

2018 ◽  
Vol 9 (1) ◽  
pp. 116 ◽  
Author(s):  
Richard Menger ◽  
MatthewI Hefner ◽  
AmeyR Savardekar ◽  
Anil Nanda ◽  
Anthony Sin
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Case Series ◽  
Minimally Invasive Spine Surgery ◽  
Adolescent Population ◽  
Minimally Invasive Spine

The role of ICP monitoring in patients with persistent cerebrospinal fluid leak following spinal surgery: a case series

2016 ◽  
Vol 158 (9) ◽  
pp. 1813-1819 ◽  
Author(s):  
Claudia Craven ◽  
Ahmed K. Toma ◽  
Akbar A. Khan ◽  
Laurence D. Watkins
Keyword(s):  
Cerebrospinal Fluid ◽  
Spinal Surgery ◽  
Case Series ◽  
Cerebrospinal Fluid Leak ◽  
Icp Monitoring ◽  
Fluid Leak

Patient Selection for Minimally Invasive Spine Surgery

2021 ◽  
pp. 100887
Author(s):  
Ibrahim Hussain ◽  
Dennis Timothy Lockney ◽  
Michael Y. Wang ◽  
Kai-Ming Fu ◽  
Praveen V. Mummaneni
Keyword(s):  
Minimally Invasive ◽  
Spine Surgery ◽  
Patient Selection ◽  
Minimally Invasive Spine Surgery ◽  
Minimally Invasive Spine ◽  
Selection For
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