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| Comparison of therapeutic effect of three different treatments for cerebrospinal fluid leakage induced by spinal surgery |
| CHU Zhaoming CHEN Ming LYU You QIN Rujie LIU Yi |
| Department of Spine Surgery, the First People′s Hospital of Lianyungang, Jiangsu Province, Lianyungang 222000, China |
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Abstract Objective To compare the effects of three methods of wound compression bandaging, subarachnoid tube drainage and prolonged incision drainage on cerebrospinal fluid leakage after spinal surgery. Methods From March 2008 to March 2017, 183 patients from the Department of Spine Surgery, the First People′s Hospital of Lianyungang, Jiangsu Province, with cerebrospinal fluid leakage after spinal surgery were retrospectively analyzed. They were divided into three groups: wound compression bandaging method with 61 cases (group A), subarachnoid tube drainage methods with 25 cases (group B), prolonged incision drainage method with 97 cases (group C) according to the postoperative treatment method. The cerebrospinal fluid leakage time, incision healing time, dressing change times, success rate of initial treatment and incidence of complications were compared among the three groups, as well as the incidence of postoperative fever, headache, increased inflammatory indicators, abnormal incision pain and muscle dyspepsia. Results The cerebrospinal fluid leakage time, incision healing time in group C, group B was shorter than those in the group A, the frequency of dressing change was less than that in group A, the cerebrospinal fluid leakage time, incision healing time in group C were shorter than that in the group B, the dressing change times was less than that in group B. The success rate of initial treatment in group C was higher than that in group A and B, and the incidence of complications in group C and group B was lower than that in group A, with statistically significant differences (P ＜ 0.05). However, there was no statistically significant difference in the success rate of initial treatment between group A and group B or the incidence of complications between group C and group B (P ＞ 0.05). Postoperative fever, increased inflammatory indicators, headache, abnormal incision pain, muscle strength hypoesthesia, and total occurrence in group B and group C were all less than those in group A, with statistically significant differences (P ＜ 0.05). There was no significant difference between group B and group C (P ＞ 0.05). Conclusions Prolonged incision drainage is a simple and efficient treatment for cerebrospinal fluid leakage after spinal surgery.
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