Rare Complications of Cervical Spine Surgery: Pseudomeningocoele.

Ailon, Tamir

Smith, Justin S

Nassr, Ahmad

Smith, Zachary A

Hsu, Wellington K

Fehlings, Michael G

Fish, David E

Wang, Jeffrey C

Hilibrand, Alan S

Mummaneni, Praveen V

Chou, Dean

Sasso, Rick C

Traynelis, Vincent C

Arnold, Paul M

Mroz, Thomas E

Buser, Zorica

Lord, Elizabeth L

Massicotte, Eric M

Sebastian, Arjun S

Than, Khoi D

Steinmetz, Michael P

Smith, Gabriel A

Pace, Jonathan

Corriveau, Mark

Lee, Sungho

Riew, K Daniel

Shaffrey, Christopher

2019-12-15T17:07:03Z

2019-12-15T17:07:03Z

2017-04

2019-12-15T17:07:01Z

This study was a retrospective, multicenter cohort study.Rare complications of cervical spine surgery are inherently difficult to investigate. Pseudomeningocoele (PMC), an abnormal collection of cerebrospinal fluid that communicates with the subarachnoid space, is one such complication. In order to evaluate and better understand the incidence, presentation, treatment, and outcome of PMC following cervical spine surgery, we conducted a multicenter study to pool our collective experience.This study was a retrospective, multicenter cohort study of patients who underwent cervical spine surgery at any level(s) from C2 to C7, inclusive; were over 18 years of age; and experienced a postoperative PMC.Thirteen patients (0.08%) developed a postoperative PMC, 6 (46.2%) of whom were female. They had an average age of 48.2 years and stayed in hospital a mean of 11.2 days. Three patients were current smokers, 3 previous smokers, 5 had never smoked, and 2 had unknown smoking status. The majority, 10 (76.9%), were associated with posterior surgery, whereas 3 (23.1%) occurred after an anterior procedure. Myelopathy was the most common indication for operations that were complicated by PMC (46%). Seven patients (53%) required a surgical procedure to address the PMC, whereas the remaining 6 were treated conservatively. All PMCs ultimately resolved or were successfully treated with no residual effects.PMC is a rare complication of cervical surgery with an incidence of less than 0.1%. They prolong hospital stay. PMCs occurred more frequently in association with posterior approaches. Approximately half of PMCs required surgery and all ultimately resolved without residual neurologic or other long-term effects.

10.1177_2192568216687769

2192-5682

2192-5690

https://hdl.handle.net/10161/19586

eng

SAGE Publications

Global spine journal

10.1177/2192568216687769

cervical spine

multicenter

pseudomeningocoele

retrospective

Rare Complications of Cervical Spine Surgery: Pseudomeningocoele.

Journal article

Shaffrey, Christopher|0000-0001-9760-8386

109S

114S

1 Suppl

School of Medicine

Duke

Orthopaedics

Clinical Science Departments

Neurosurgery

Published

7