带蒂多裂肌皮瓣治疗穿透性脊柱刺伤所致硬脑膜撕裂：两例病例报告及文献综述
Pedicled multifidus muscle flaps to treat dural tears due to penetrating spinal stab wounds: Two case reports and a literature review.
作者信息
Policicchio Domenico, Boccaletti Riccardo, Casu Gina, Mingozzi Anna, Muggianu Giampiero, Nodari Giovanni, Sias Walter Marco, Dipellegrini Giosué
机构信息
Department of Neurosurgery, Azienda Ospedaliero Universitaria "Renato Dulbecco" di Catanzaro, Catanzaro, Italy.
Department of Neurosurgery, Azienda Ospedaliero Universitaria di Sassari, Sassari, Italy.
出版信息
Surg Neurol Int. 2024 Jan 19;15:19. doi: 10.25259/SNI_982_2023. eCollection 2024.
BACKGROUND
Penetrating spinal injuries occasionally lead to dural tears (DT) and cerebrospinal fluid (CSF) leaks that risk both infectious and neurological complications. Here, we reviewed two cases and the literature regarding the safety/efficacy and limitations of repairing traumatic DT utilizing pedicled multifidus muscle flaps.
CASE DESCRIPTION
Two males, ages 73 and 50, presented with Brown-Sequard syndromes and DT/CSF fistulas attributed to knife-induced spinal injuries at the D3-D4 and D11-D12 levels. Intraoperatively, DT was repaired utilizing pedicle multifidus muscle flaps. Postoperatively, both patients demonstrated partial recovery of neurological function along with no residual symptoms/signs of DT/CSF fistulas.
CONCLUSION
Penetrating traumatic spinal injuries may result in DT/CSF fistulas that can be adequately repaired utilizing pedicle multifidus muscle flaps.
背景
穿透性脊柱损伤偶尔会导致硬脊膜撕裂（DT）和脑脊液（CSF）漏，这会引发感染和神经并发症风险。在此，我们回顾了两例病例以及关于使用带蒂多裂肌瓣修复创伤性DT的安全性/有效性和局限性的文献。
病例描述
两名男性，年龄分别为73岁和50岁，表现为布朗 - 色夸综合征以及因D3 - D4和D11 - D12水平的刀伤导致的DT/CSF瘘。术中，使用带蒂多裂肌瓣修复DT。术后，两名患者神经功能均有部分恢复，且无DT/CSF瘘的残留症状/体征。
结论
穿透性创伤性脊柱损伤可能导致DT/CSF瘘，使用带蒂多裂肌瓣可对其进行充分修复。
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