[Prevention of peridural fibrosis following laminectomy. Apropos of a case of monoradicular paralysis due to an intracanalar hematoma on Gelfoam].
Gelfoam has routinely been used, according to Larroca and Macnab, to prevent scar formation about the dura mater and the nerve roots after laminectomy. We report a case in which postoperative monoradicular paralysis resulted from compression of the thecal cul-de-sac by a hematoma held in place by the Gelfoam. A review of the literature on prevention of adhesions after laminectomy is included.
Bellen
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Service d'Orthopédie et Traumatologie, Clinique Ste Anne, Bruxelles, Belgique.
D000368:Aged; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000009:adverse effects; D006406:Hematoma / Q000150:complications*; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology; D013126:Spinal Nerve Roots; D013130:Spinal Stenosis / Q000601:surgery; D000267:Tissue Adhesions / Q000517:prevention & control*
La prévention de la fibrose péridurale après laminectomie. A propos d'un cas de paralysie monoradiculaire due à un hématome intracanalaire sur Gelfoam.