Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope
Background Delayed meningeal cyst (DMC) is a rare complication after spinal surgery that is often ignored by clinicians, and its in-depth research is infrequent. In particular, no consensus has been reached about its surgical treatment. We found that patients with a DMC failed after conservative tre...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2022-04-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2021.1924899 |
| _version_ | 1797684467079315456 |
|---|---|
| author | Zhi-Wei Wang Xi-Wen Fan Zheng Wang Pei-Yu Du Xian-Da Gao Wen-Yuan Ding Da-Long Yang |
| author_facet | Zhi-Wei Wang Xi-Wen Fan Zheng Wang Pei-Yu Du Xian-Da Gao Wen-Yuan Ding Da-Long Yang |
| author_sort | Zhi-Wei Wang |
| collection | DOAJ |
| description | Background Delayed meningeal cyst (DMC) is a rare complication after spinal surgery that is often ignored by clinicians, and its in-depth research is infrequent. In particular, no consensus has been reached about its surgical treatment. We found that patients with a DMC failed after conservative treatment, epidural blood patch, subarachnoid drainage, and initial attempts to eliminate the meningeal cyst. Therefore, we introduce the application of a paraspinal muscle flap repair under a microscope for the treatment of DMC. Methods In this study, 13 patients who were repaired by a paraspinal muscle flap under a microscope for DMC from January 2007 to January 2017 were retrospectively reviewed. Their ages were 18–68 years old (mean age 48.7 years). The course of the disease ranged from 3 weeks to 28 months after the operation for the primary disease, with an average of 10.6 months. Length >5 cm was called a large DMC and length >8 was called a giant DMC. By analyzing the effect of surgical treatment, we summarized the treatment experience of DMC and evaluated the risk factors for the formation of DMC. Results All patients were treated with paraspinal muscle flap repair under a microscope, and they healed well after the operation. There was no cerebrospinal fluid leakage or other operation-related complication. The mean follow-up was 16.5 months. Reexamination of the spine MRI showed no recurrence of the DMC. Conclusions The application of paraspinal muscle flap under a microscope combined with glue, bedrest, and CSF drain, was an effective option for the patients with DMC. |
| first_indexed | 2024-03-12T00:30:06Z |
| format | Article |
| id | doaj.art-585a007ea0c64996973c77bf7c37ed8e |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:30:06Z |
| publishDate | 2022-04-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-585a007ea0c64996973c77bf7c37ed8e2023-09-15T10:21:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-04-0135472373010.1080/08941939.2021.19248991924899Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under MicroscopeZhi-Wei Wang0Xi-Wen Fan1Zheng Wang2Pei-Yu Du3Xian-Da Gao4Wen-Yuan Ding5Da-Long Yang6Department of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Spine Surgery, The Third Hospital of Hebei Medical UniversityBackground Delayed meningeal cyst (DMC) is a rare complication after spinal surgery that is often ignored by clinicians, and its in-depth research is infrequent. In particular, no consensus has been reached about its surgical treatment. We found that patients with a DMC failed after conservative treatment, epidural blood patch, subarachnoid drainage, and initial attempts to eliminate the meningeal cyst. Therefore, we introduce the application of a paraspinal muscle flap repair under a microscope for the treatment of DMC. Methods In this study, 13 patients who were repaired by a paraspinal muscle flap under a microscope for DMC from January 2007 to January 2017 were retrospectively reviewed. Their ages were 18–68 years old (mean age 48.7 years). The course of the disease ranged from 3 weeks to 28 months after the operation for the primary disease, with an average of 10.6 months. Length >5 cm was called a large DMC and length >8 was called a giant DMC. By analyzing the effect of surgical treatment, we summarized the treatment experience of DMC and evaluated the risk factors for the formation of DMC. Results All patients were treated with paraspinal muscle flap repair under a microscope, and they healed well after the operation. There was no cerebrospinal fluid leakage or other operation-related complication. The mean follow-up was 16.5 months. Reexamination of the spine MRI showed no recurrence of the DMC. Conclusions The application of paraspinal muscle flap under a microscope combined with glue, bedrest, and CSF drain, was an effective option for the patients with DMC.http://dx.doi.org/10.1080/08941939.2021.1924899delayed meningeal cystrepair of paraspinal muscle flapsurgical treatmentpostoperative effectspine |
| spellingShingle | Zhi-Wei Wang Xi-Wen Fan Zheng Wang Pei-Yu Du Xian-Da Gao Wen-Yuan Ding Da-Long Yang Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope Journal of Investigative Surgery delayed meningeal cyst repair of paraspinal muscle flap surgical treatment postoperative effect spine |
| title | Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope |
| title_full | Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope |
| title_fullStr | Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope |
| title_full_unstemmed | Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope |
| title_short | Repair of Delayed Meningeal Cyst after Spinal Surgery with Paraspinal Muscle Flap under Microscope |
| title_sort | repair of delayed meningeal cyst after spinal surgery with paraspinal muscle flap under microscope |
| topic | delayed meningeal cyst repair of paraspinal muscle flap surgical treatment postoperative effect spine |
| url | http://dx.doi.org/10.1080/08941939.2021.1924899 |
| work_keys_str_mv | AT zhiweiwang repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT xiwenfan repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT zhengwang repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT peiyudu repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT xiandagao repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT wenyuanding repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope AT dalongyang repairofdelayedmeningealcystafterspinalsurgerywithparaspinalmuscleflapundermicroscope |