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  • Repairing of Anterior Dural Tears Resulting from Cervical Trauma with Platismal Muscle Patch

    Final Number:
    483

    Authors:
    Cengiz Cokluk MD; Abdullah Hilmi Marangoz; Enis Kuruoglu MD

    Study Design:
    Clinical Trial

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2015 Annual Meeting

    Introduction: Dural tears can be seen after cervical trauma. If surgical intervention indicated precise exposure with diamond drilling around the dural tear is necessary to put platysmal dural patch. In this report, the using of platysmal dural patch during the surgical repair of anterior dural tears of the cervical spinal cord was evaluated.

    Methods: Supine position was used for surgery. Right lateral skin incision was performed over the injured vertebral body. Platysma was opened. A surgical corridor was created between the sternocleidomastoid muscle and trachea. C-arm fluoroscopy was used for identification of the injured site. Diamond drilling under the operating microscope is necessary in the precise exposure and removing of the bone materials.

    Results: Two-dimensional fluoroscopic evaluation during surgical intervention is used for localization, of the injured cervical corpus. Diamond drilling with high-speed drill is helpful in the creating of cavity without bleeding and precise exposure of the dural tear area. Harvesting of platysmal patch is easy to prepare.

    Conclusions: Dural tears located anterior surface of the cervical spinal cord may be seen after the cervical trauma. Adequate repairing of the dural tear is necessary especially in the instrumented cases. Collecting of the cerebrospinal fluid in the surgical field should be prevented. Platysmal patch with fibrin glue is the good combination before implantation of the instrument.

    Patient Care: Using of platysmal patch with fibrin glue during the surgical intervention in the repairing of dural tears located anterior surface of the cervical spinal cord can be performed under the operating microscope after precise exposure of the injured area.

    Learning Objectives: Using of platysmal patch with fibrin glue during the surgical intervention in the repairing of dural tears located anterior surface of the cervical spinal cord can be performed under the operating microscope after precise exposure of the injured area.

    References:

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