Management of Cerebrospinal Fluid Leak after Anterior Cervical Discectomy and Arthroplasty

Paul Lavantès and Thierry Dufour*

Department of Neurosurgery, Institut Parisien du Dos, Geoffroy Saint Hilaire Clinic, France

^*Correspondance to: Thierry Dufour 

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Abstract:

Introduction: Anterior dural tears complicated by Cerebrospinal Fluid (CSF) leakage with anterior meningocele are extremely rare. Indeed, in the literature, cases are described in anterior arthrodesis, but no case of post-cervical arthroplasty is described. The management of this type of complication is poorly described and not consensual. Surgeons are rarely confronted with this type of complication, especially since the working space is very limited and does not allow direct suturing. Case Report: We present the case of a patient who underwent cervical arthroplasty complicated by a post-dural tear meningocele. The revision surgery consisted of a combination of closure of the breach with a fatty patch covered by a TachoSil patch, followed by reinsertion of a cervical prosthesis. Conclusion: At the last follow-up, the patient did not present any residual effects of the complication, and the mobility of the disc prosthesis was not altered by it. The use of TachoSil appears to be a satisfactory surgical option for the management of these complications.

Keywords:

Cerebrospinal Fluid (CSF) leaked; Dural tear; Anterior cervical discectomy; TachoSil; Dural repair; Cervical arthroplasty

Cite the Article:

Lavantès P, Dufour T. Management of Cerebrospinal Fluid Leak after Anterior Cervical Discectomy and Arthroplasty. Ann Clin Case Rep. 2022; 7: 2200..