PTFE-fascia patch inlay method for the anterior approach for cervical intradural spinal lesion.
METHODS
A new method for prevention of cerebrospinal fluid leakage was studied.


OBJECTIVE
To prevent cerebrospinal fluid leakage, we developed a polytetrafluoroethylene fascia patch inlay method.


BACKGROUND
One of the major risks of the anterior approach for intra-dural spinal cord lesions is the cerebrospinal fluid leakage.


METHODS
A small hemangioblastoma located on the ventral side of the cervical cord was resected with an anterior approach. The dural closure was performed using this polytetrafluoroethylene fascia patch inlay method.


RESULTS
The patient had a satisfactory clinical course with no cerebrospinal fluid leakage.


CONCLUSIONS
This polytetrafluoroethylene fascia patch inlay method is very effective. This method may provide both prevention of CSF leakage and future spinal cord adhesion to the dura.
Yuguchi
T
T
Department of Neurosurgery, Osaka University School of Medicine, Suita, Osaka, Japan.
Kohmura
E
E
Yoshimine
T
T
D002574:Cervical Vertebrae / Q000033:anatomy & histology / Q000601:surgery*; D004388:Dura Mater / Q000033:anatomy & histology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D018325:Hemangioblastoma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D019736:Prostheses and Implants / Q000592:standards / Q000639:trends*; D013116:Spinal Cord / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D013346:Subarachnoid Space / Q000601:surgery; D013353:Subdural Effusion / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D016378:Tissue Transplantation / Q000379:methods* / Q000639:trends; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene