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Spinal Deformity pp 145–154Cite as

Congenital Thoracolumbar Deformity Complication

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Abstract

Incidental durotomy is one of the most common intraoperative complications in spine surgery, including deformity surgery. Unrecognized tears or tears that fail to seal in spite of treatment may result in cerebrospinal fluid (CSF) fistula formation and leak. In turn, CSF leaks may lead to severe postoperative headache, back pain, fluid accumulation and increased risk of infection. In this chapter, the authors present a case of a patient who underwent surgery for spinal deformity and developed a postoperative pseudomeningocele. Additionally, the causes, diagnosis, management, complications, and outcomes of CSF leak are discussed.

The manuscript submitted does not contain information about medical device(s)/drug(s). No funds were received in support of this work. The authors have no conflicts of interest.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Thomas Kosztowski, Rafael De la Garza Ramos, C. Rory Goodwin & Daniel M. Sciubba

  2. Department of Neurosurgery, Duke University Medical Center, Durham, NC, USA

    C. Rory Goodwin

  3. The Johns Hopkins Hospital, 600 North Wolfe Street, Meyer 7-113, Baltimore, MD, 21287, USA

    Daniel M. Sciubba

Authors
  1. Thomas Kosztowski
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  2. Rafael De la Garza Ramos
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  3. C. Rory Goodwin
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  4. Daniel M. Sciubba
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Corresponding author

Correspondence to Daniel M. Sciubba .

Editor information

Editors and Affiliations

  1. Joan O’Reilly Endowed Professor in Spinal Surgery, Vice Chairman, Department of Neurosurgery, University of California, San Francisco, California, USA

    Praveen V. Mummaneni

  2. Professor, Director of Spinal Surgery, Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA

    Paul Park

  3. University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Charles H. Crawford III

  4. Chief, Division of Spine Surgery, Associate Professor of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Adam S. Kanter

  5. Department of Orthopedic Surgery, University of Louisville, Norton Leatherman Spine Center, Louisville, Kentucky, USA

    Steven D. Glassman

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Kosztowski, T., la Garza Ramos, R.D., Rory Goodwin, C., Sciubba, D.M. (2018). Congenital Thoracolumbar Deformity Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_15

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  • DOI: https://doi.org/10.1007/978-3-319-60083-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60082-6

  • Online ISBN: 978-3-319-60083-3

  • eBook Packages: MedicineMedicine (R0)

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