Paraspinous Muscle Flaps for the Treatment and Prevention of Cerebrospinal Fluid Fistulas in Neurosurgery

Abstract

Paraspinous muscle flaps allow effective treatment and prevention of cerebrospinal fluid fistulas in selected high-risk patients and provide simple durable coverage of complex spinal wounds with minimal morbidity.

Spinal Sealant System Provides Better Intraoperative Watertight Closure Than Standard of Care During Spinal Surgery

“…2-5 , 7-10 However, successful dural closure has remained elusive with sutures alone, with rates of postoperative CSF leak as high as 17.4%. [23][24][25][26][27][28][29] Various hemostatic or gelatin sponge products have been used in off-label applications in attempts to reduce these rates, with varying results. 30 , 31 The safety of these products remains unstudied, as all are known to swell after application.…”

Closure of Complex Posterior Midline Defects After Spinal Surgery With Sensate Midline-based Perforator Flaps and the Long-term Results

“…Muscle flaps have become standard in the treatment of complex posterior midline defects after spine surgery. 23,24 The disadvantages of using muscle flaps are the need for more comprehensive surgical procedures, the potential for donor site morbidity and the functional loss of a muscle unit.…”

Component Separation of the Back: A Simple Modification for the Closure of Complex Spinal Wounds

“…1,2,3,4,5 The CSPM flap technique is a simple modification of local flap coverage for complex spinal wounds, offering superior results for their primary closure, and may help avoid costly, and potentially dangerous, returns to the operating room.…”