Postoperative Thoracic Cord Compression Induced by a Dural Sealant System (DuraSeal®): A Case Report and Literature Review

Dong Soon Jang, Seung-Hun Sheen, Inbo Han, S. Lee, Woo Seok Choi, M. Bock, Seil Sohn
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Abstract

, hindering the improvement of the surgical site and increasing the possibility of infection. DuraSeal ® is a dural sealing adhesive that prevents CSF leakage and is used as an adjunct to enable the watertight repair of dural defects when the dura is damaged during spinal surgery. In the present case, DuraSeal ® was applied to repair a dural defect in the surgical area after thoracic spine surgery, and no neurological problems occurred immediately after surgery. However, a day later, the patient’s paraparesis worsened; therefore, reoperation was performed and the symptoms improved.
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硬脑膜密封剂系统 (DuraSeal®) 术后引起的胸脊髓压迫:病例报告和文献综述
,妨碍了手术部位的改善,增加了感染的可能性。DuraSeal ®是一种硬脊膜密封粘合剂,可防止 CSF 渗漏,在脊柱手术中硬脊膜受损时可作为一种辅助工具用于硬脊膜缺损的防水修复。在本病例中,胸椎手术后应用 DuraSeal ® 修复了手术区域的硬膜缺损,术后未立即出现神经系统问题。但一天后,患者的偏瘫症状加重,因此再次进行了手术,症状有所改善。
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