Thecal sac ligation in the setting of thoracic spondyloptosis with complete cord transection.
Cerebrospinal fluid leak
Cord transection
Dural tear
Thecal sac ligation
Traumatic spondyloptosis
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2023
2023
Historique:
received:
23
04
2023
accepted:
24
07
2023
medline:
9
10
2023
pubmed:
9
10
2023
entrez:
9
10
2023
Statut:
epublish
Résumé
Traumatic spondyloptosis (TS) with complete spinal cord transection and unrepairable durotomy is particularly rare and can lead to a difficult-to-manage cerebrospinal fluid (CSF) leak. We performed a systematic review of the literature on TS and discuss the management strategies and outcomes of TS with cord transection and significant dural tear. We also report a novel case of a 26-year-old female who presented with thoracic TS with complete spinal cord transection and unrepairable durotomy with high-flow CSF leak. Of 93 articles that resulted in the search query, 13 described cases of TS with complete cord transection. The approach to dural repair was only described in 8 ( Suture ligation of the thecal sac in the setting of traumatic complete spinal cord transection with significant dural disruption has been described in the international literature and is a safe and successful technique to prevent complications associated with persisting high-flow CSF leakage. To the best of our knowledge, this is the first report of thecal sac ligation of the proximal end of the defect from the United States.
Sections du résumé
Background
UNASSIGNED
Traumatic spondyloptosis (TS) with complete spinal cord transection and unrepairable durotomy is particularly rare and can lead to a difficult-to-manage cerebrospinal fluid (CSF) leak.
Methods
UNASSIGNED
We performed a systematic review of the literature on TS and discuss the management strategies and outcomes of TS with cord transection and significant dural tear. We also report a novel case of a 26-year-old female who presented with thoracic TS with complete spinal cord transection and unrepairable durotomy with high-flow CSF leak.
Results
UNASSIGNED
Of 93 articles that resulted in the search query, 13 described cases of TS with complete cord transection. The approach to dural repair was only described in 8 (
Conclusion
UNASSIGNED
Suture ligation of the thecal sac in the setting of traumatic complete spinal cord transection with significant dural disruption has been described in the international literature and is a safe and successful technique to prevent complications associated with persisting high-flow CSF leakage. To the best of our knowledge, this is the first report of thecal sac ligation of the proximal end of the defect from the United States.
Identifiants
pubmed: 37810299
doi: 10.25259/SNI_360_2023
pii: 10.25259/SNI_360_2023
pmc: PMC10559368
doi:
Types de publication
Journal Article
Langues
eng
Pagination
304Informations de copyright
Copyright: © 2023 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Clin Neurosci. 2014 Mar;21(3):367-72
pubmed: 24210805
Arch Phys Med Rehabil. 1999 Nov;80(11):1397-401
pubmed: 10569433
J Neurotrauma. 2018 Feb 1;35(3):461-466
pubmed: 29141498
Int Orthop. 2011 Nov;35(11):1671-5
pubmed: 21221578
J Orthop Sci. 2020 Sep;25(5):926-930
pubmed: 29478625
Cureus. 2015 Jun 14;7(6):e277
pubmed: 26180701
Neurol Med Chir (Tokyo). 2013;53(12):887-9
pubmed: 24097091
Eur Spine J. 2014 Aug;23(8):1772-6
pubmed: 24823847
Life (Basel). 2021 Aug 25;11(9):
pubmed: 34575024
Asian J Neurosurg. 2016 Jan-Mar;11(1):72
pubmed: 26889291
Int J Neurosci. 2021 Jul;131(7):689-695
pubmed: 32242448
J Neurosurg Spine. 2018 Dec 1;29(6):635-638
pubmed: 30192218
Neurol India. 2022 Sep-Oct;70(Supplement):S182-S188
pubmed: 36412366
ANZ J Surg. 2018 Oct;88(10):1083-1085
pubmed: 27860147
Trauma Mon. 2016 Feb 06;21(1):e19841
pubmed: 27218044
Clin Orthop Relat Res. 2010 Nov;468(11):2939-47
pubmed: 20635173
World Neurosurg. 2018 May;113:e166-e171
pubmed: 29427815
Spine J. 2014 Jan;14(1):49-56
pubmed: 23669121
Korean J Neurotrauma. 2021 Aug 24;17(2):180-185
pubmed: 34760831
Surg Neurol Int. 2018 Aug 10;9:158
pubmed: 30159202
J Neurosurg Spine. 2008 Aug;9(2):145-51
pubmed: 18764746
J Neurosurg Spine. 2015 Jun;22(6):647-52
pubmed: 25768668
Eur Spine J. 2016 May;25 Suppl 1:157-61
pubmed: 26521076
Spine (Phila Pa 1976). 2014 May 20;39(12):E748-51
pubmed: 24718074
Cureus. 2022 Apr 4;14(4):e23830
pubmed: 35530925
Br J Neurosurg. 2020 Oct 8;:1-5
pubmed: 33030074
Surg Neurol Int. 2019 Feb 27;10:23
pubmed: 31123630
World J Orthop. 2015 Jan 18;6(1):8-16
pubmed: 25621206
J Clin Neurosci. 2007 Aug;14(8):770-5
pubmed: 17493819
Ann Surg. 1922 Dec;76(6):739-44
pubmed: 17864746
Chin J Traumatol. 2017 Apr;20(2):81-83
pubmed: 28336418
Spine (Phila Pa 1976). 2005 Feb 15;30(4):E97-102
pubmed: 15706330