Levy D I, Sonntag V K
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
J Neurosurg. 1994 Dec;81(6):947-9. doi: 10.3171/jns.1994.81.6.0947.
Spinal dural lacerations can be a difficult part of spinal surgery. A dural tear can result in complications that include meningitis and pseudocyst formation. Appropriate treatment for these tears is generally suturing, using 4.0, 5.0, or 6.0 suture. For successful closure of dural lacerations, the authors have collaborated in the design of a titanium clip, which resembles an aneurysm clip in appearance and is applied with standard aneurysm clip appliers. The titanium clip was tested against suture and Weck hemostatic vascular clips and found to have excellent tissue-approximating capacity and a rapid application time. It is believed that this is an appropriate device for the repair of spinal dural lacerations.
脊髓硬膜撕裂可能是脊柱手术中棘手的部分。硬膜撕裂会导致包括脑膜炎和假性囊肿形成在内的并发症。对这些撕裂伤的适当治疗通常是缝合,使用4.0、5.0或6.0缝线。为了成功闭合硬膜撕裂,作者共同设计了一种钛夹,其外观类似于动脉瘤夹,并使用标准的动脉瘤夹钳进行应用。将该钛夹与缝线和威克止血血管夹进行了对比测试,发现其具有出色的组织贴合能力和快速的应用时间。据信这是一种修复脊髓硬膜撕裂的合适器械。