Skip to main content
Journal cover image

Rare Complications of Cervical Spine Surgery: Pseudomeningocoele.

Publication ,  Journal Article
Ailon, T; Smith, JS; Nassr, A; Smith, ZA; Hsu, WK; Fehlings, MG; Fish, DE; Wang, JC; Hilibrand, AS; Mummaneni, PV; Chou, D; Sasso, RC; Lee, S ...
Published in: Global Spine J
April 2017

STUDY DESIGN: This study was a retrospective, multicenter cohort study. OBJECTIVES: Rare complications of cervical spine surgery are inherently difficult to investigate. Pseudomeningocoele (PMC), an abnormal collection of cerebrospinal fluid that communicates with the subarachnoid space, is one such complication. In order to evaluate and better understand the incidence, presentation, treatment, and outcome of PMC following cervical spine surgery, we conducted a multicenter study to pool our collective experience. METHODS: This study was a retrospective, multicenter cohort study of patients who underwent cervical spine surgery at any level(s) from C2 to C7, inclusive; were over 18 years of age; and experienced a postoperative PMC. RESULTS: Thirteen patients (0.08%) developed a postoperative PMC, 6 (46.2%) of whom were female. They had an average age of 48.2 years and stayed in hospital a mean of 11.2 days. Three patients were current smokers, 3 previous smokers, 5 had never smoked, and 2 had unknown smoking status. The majority, 10 (76.9%), were associated with posterior surgery, whereas 3 (23.1%) occurred after an anterior procedure. Myelopathy was the most common indication for operations that were complicated by PMC (46%). Seven patients (53%) required a surgical procedure to address the PMC, whereas the remaining 6 were treated conservatively. All PMCs ultimately resolved or were successfully treated with no residual effects. CONCLUSIONS: PMC is a rare complication of cervical surgery with an incidence of less than 0.1%. They prolong hospital stay. PMCs occurred more frequently in association with posterior approaches. Approximately half of PMCs required surgery and all ultimately resolved without residual neurologic or other long-term effects.

Duke Scholars

Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

April 2017

Volume

7

Issue

1 Suppl

Start / End Page

109S / 114S

Location

England

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ailon, T., Smith, J. S., Nassr, A., Smith, Z. A., Hsu, W. K., Fehlings, M. G., … Shaffrey, C. (2017). Rare Complications of Cervical Spine Surgery: Pseudomeningocoele. Global Spine J, 7(1 Suppl), 109S-114S. https://doi.org/10.1177/2192568216687769
Ailon, Tamir, Justin S. Smith, Ahmad Nassr, Zachary A. Smith, Wellington K. Hsu, Michael G. Fehlings, David E. Fish, et al. “Rare Complications of Cervical Spine Surgery: Pseudomeningocoele.Global Spine J 7, no. 1 Suppl (April 2017): 109S-114S. https://doi.org/10.1177/2192568216687769.
Ailon T, Smith JS, Nassr A, Smith ZA, Hsu WK, Fehlings MG, et al. Rare Complications of Cervical Spine Surgery: Pseudomeningocoele. Global Spine J. 2017 Apr;7(1 Suppl):109S-114S.
Ailon, Tamir, et al. “Rare Complications of Cervical Spine Surgery: Pseudomeningocoele.Global Spine J, vol. 7, no. 1 Suppl, Apr. 2017, pp. 109S-114S. Pubmed, doi:10.1177/2192568216687769.
Ailon T, Smith JS, Nassr A, Smith ZA, Hsu WK, Fehlings MG, Fish DE, Wang JC, Hilibrand AS, Mummaneni PV, Chou D, Sasso RC, Traynelis VC, Arnold PM, Mroz TE, Buser Z, Lord EL, Massicotte EM, Sebastian AS, Than KD, Steinmetz MP, Smith GA, Pace J, Corriveau M, Lee S, Riew KD, Shaffrey C. Rare Complications of Cervical Spine Surgery: Pseudomeningocoele. Global Spine J. 2017 Apr;7(1 Suppl):109S-114S.
Journal cover image

Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

April 2017

Volume

7

Issue

1 Suppl

Start / End Page

109S / 114S

Location

England

Related Subject Headings

  • 3202 Clinical sciences