Shi Benchao, Zhu Zhemin, He Haibo, Jin Anmin, Zhou Chusong, Min Shaoxiong, Shu Xiaoqiu, Cao Yanlin, Chen Zhong, Zhu Lixin
Orthopedics. 2023 Jan-Feb;46(1):e66-e71. doi: 10.3928/01477447-20221003-02. Epub 2022 Oct 6.
Cerebrospinal fluid leakage can lead to postoperative refractory headaches and meningitis. Dural injury is the main cause of postoperative cerebrospinal fluid leakage. Previously, we performed a comprehensive anatomic study on the dorsal meningovertebral ligaments in the lumbosacral regions and concluded that these ligaments are an anatomic factor leading to dural laceration. However, no clinical study has examined the relationship between dorsal meningovertebral ligaments and the incidence of intraoperative cerebrospinal fluid leakage. The goal of this study was to investigate the effect of prophylactic intraoperative pretreatment of the meningovertebral ligaments on the incidence of cerebrospinal fluid leakage during surgery. [. 2023;46(1):e66-e71.].
脑脊液漏可导致术后顽固性头痛和脑膜炎。硬脊膜损伤是术后脑脊液漏的主要原因。此前,我们对腰骶部的背侧脊膜椎韧带进行了全面的解剖学研究,得出结论认为这些韧带是导致硬脊膜撕裂的解剖学因素。然而,尚无临床研究探讨背侧脊膜椎韧带与术中脑脊液漏发生率之间的关系。本研究的目的是探讨术中对脊膜椎韧带进行预防性预处理对手术中脑脊液漏发生率的影响。[. 2023;46(1):e66 - e71.]