Spinal Fluid Leak After Back Surgery

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Chiari Decompression Surgery Mayfield Brain Spine Spinal Fluid Chiari Chiari Malformation

As of march 2012 most dural tear surgeries involve sutures stitches but sutureless techniques are being developed as well.

Spinal fluid leak after back surgery. The membrane is quite tough but it can be damaged during surgery for chronic back pain. Most frequently during spinal surgery direct trauma or laceration causes dural tear. This case report describes patients with symptoms of csf leak occurring a few days to a few weeks after lumbar spine surgery who required additional surgery to repair the dura and alleviate their symptoms.

Spinal fluid leaks the spinal cord and nerves are covered by a protective watertight sac of tissue dura mater. If the tear is noticed during the surgery it is repaired and usually heals uneventfully. After initial healing has taken place approximately six weeks after surgery patients should begin rehabilitation with the guidance of a physical therapist who is familiar with spinal fluid leak repair surgeries.

Records for patients who had lumbar spine surgery performed by 2 spine surgeons at a single institution between 1990 and 2005 were reviewed. Anatomy of the spine when operating in and around the nervous system such as while performing spinal surgery one of the structures that is present and particularly delicate is the dura. A spinal fluid leak also known technically as a csf leak or intracranial hypotension condition can occur for many reasons and affects many back pain patients who choose surgical interventions as part of their treatment process.

During a spinal surgery it is not uncommon for a rupture or tear to occur in this dura mater. Cerebrospinal fluid leaks aka csf leak or spinal fluis leak are one complication of spinal surgery. This is called a postsurgical csf leak.

A spinal fluid leak can also occur as a result of necessary medical intervention for example following a lumbar lower spine puncture procedure or a spine surgery that opens the dura. Dural disruption and subsequent cerebrospinal fluid leak can occur through various mechanisms. Treatments for dural tears include bed rest draining and if the leaking continues surgery.

Cerebral spinal fluid is the protective liquid which is encased in the dura and surrounds the brain and spinal cord. Because the environment is controlled and the tear usually is detected intraoperatively this is the most reported and studied cause of tear. If this happens spinal fluid will begin to leak.

Csf is the one that protects and insulates the brain from all kinds of harm. 1 the surgery for a dural tear is much like plugging a hole in a tire. If your facility does not provide guidance for physical therapy contact me and i can give you a copy as a sample.

Spinal fluid leak or csf leak occurs if the membrane which enclosed the spinal fluid around the central nervous system is punctured. A postsurgical csf leak can increase the risk for infection of the spinal fluid.

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