
It strengthens and stabilises your spine, and prevents painful movement. Our patient ultimately required device removal, direct repair, and replacement with a different prosthesis to treat his CSF leak.Ĭopyright © 2020 Elsevier Inc. Spinal fusion This procedure joins two or more vertebrae together using bone grafts, screws and rods. If youre experiencing headache pain after your spinal surgery, you may suffer from a post-surgical complication called low cerebrospinal fluid leak. He developed a cerebrospinal fluid leak after L5-S1 lumbar total disc replacement. When the fluid leaks out, the volume and pressure of fluid in your skull drops, leading your brain to slump. CSF leaks can often cause severe symptoms, but this condition is very treatable, and up to 98 of people with it will recover. A CSF leak happens when there's a small tear in the durathe lining of the spinal cord and brain. CSF is vital to how your brain and spinal cord work, protecting and cushioning them from outside forces. His symptoms were exacerbated by activity, worse with sitting, and relieved by ice baths. A cerebrospinal fluid leak (CSF) is when you're leaking the fluid that surrounds your brain and spinal cord. Cho et al designed a volume-controlled chest tube drain for CSF leak after anterior thoracic OPLL surgery. 23 Another study supported drain placement for an average of 2.1 days after suture of durotomy and 86.3 of CSF leak was stopped. Although CSF leakage is rare, we discuss a case of CSF leakage and the diagnosis and management of CSF leakage after lumbar total disc replacement.Ī 25-year-old man had presented with discogenic low back pain caused by degenerative disc disease of 9 years' duration. Samuel found this time to be about 1017 days postoperatively when the wound closure is well healed.

Nevertheless, several complications have been reported, including, among others, wound infection, vascular injury, retrograde ejaculation, postsympathectomy syndrome, ileus, and cerebrospinal fluid (CSF) leak.

This membrane will leak spinal fluid if it is punctured. This is when the membrane surrounding the spinal cord is ruptured. Lumbar total disc replacement is increasingly becoming a more common treatment for discogenic low back pain refractory to conservative measures. Back Surgery Complications from Spinal Fluid Leaks During any procedure that is performed near the spinal cord, a dural tear is possible.
