Suspension of the spinal dura mater to the corpectomy cage with tack-up sutures for bleeding control and prevention of epidural hematoma: Operative technique

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dc.authorscopusid14419782300
dc.authorscopusid55346538900
dc.authorscopusid6601969873
dc.authorscopusid6504533945
dc.contributor.authorÇakır, Mürteza
dc.contributor.authorYilmaz, Atilla
dc.contributor.authorKadıoğlu, Hakan H.
dc.contributor.authorÇalıkoğlu, Çağatay
dc.date.accessioned2024-09-19T15:48:41Z
dc.date.available2024-09-19T15:48:41Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction: Postoperative spinal epidural hematoma (PSEH) is a rare complication of spinal surgery that requires surgery in very few patients. Unless prompt diagnosis and intervention is performed, neurologic deficits and mortality may occur depending on the localization of the PSEH. Aim: In this report, we present a case that underwent tack-up suture technique with the suspension of the spinal dura mater to the corpectomy cage for bleeding control and prevention of epidural hematoma. Case study: A 70-year-old male patient was admitted with paresis on the right arm. MRI showed protrusion and grade 2 spondylolisthesis at C3–C4, obliteration of anterior cerebrospinal fluid column caused by osteophytes at C4–C5–C6, and loss of intervertebral disc height and degenerative fusion at the same level. C4–C5 anterior corpectomy and instrumentation was performed. Two hours after surgery, neurologic deficits developed and an epidural hematoma was detected on MRI. The patient underwent a revision surgery and hemostasis was achieved by the suspension technique. Neurologic deficits recovered postoperatively. Postoperative MRI showed the suspension of dura like a tent and no hematoma in the epidural space. Results and discussion: Prevention of PSEH in addition to prompt diagnosis and surgical intervention is highly important for the prevention of adverse outcomes. In our case, we achieved successful hemostasis by suspending the dura to implanted instrument in the paravertebral region. Conclusions: Suspension of the dura with tack-up sutures can be a useful technique for the prevention of PSEH and risk of cord compression. © 2018 Warmia and Mazury Medical Chamber. All rights reserved.en_US
dc.identifier.doi10.29089/2017.17.00058
dc.identifier.endpage257en_US
dc.identifier.issn1230-8013
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85056755095en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage254en_US
dc.identifier.urihttps://doi.org/10.29089/2017.17.00058
dc.identifier.urihttps://hdl.handle.net/20.500.12483/15246
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWarmia and Mazury Medical Chamberen_US
dc.relation.ispartofPolish Annals of Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOperative techniqueen_US
dc.subjectPostoperative spinal epidural hematomaen_US
dc.subjectSpinal surgeryen_US
dc.subjectTackingup sutureen_US
dc.titleSuspension of the spinal dura mater to the corpectomy cage with tack-up sutures for bleeding control and prevention of epidural hematoma: Operative techniqueen_US
dc.typeArticleen_US

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