Gelfoam Granuloma Formation and Myelopathy after Posterior Decompression in Thoracic Spine: A Case Report
Journal of Korean Society of Spine Surgery
; : 268-272, 2011.
Article
em En
| WPRIM
| ID: wpr-67648
Biblioteca responsável:
WPRO
ABSTRACT
STUDY DESIGN: A case report. OBJECTIVES: To document that Gelfoam(R) (Pharmacia & Upjohn, Kalamazoo, MI) contributes to granuloma formation and spinal cord irritation by immune response. SUMMARY OF LITERATURE REVIEW: The Gelfoam(R) or microfibrillar collagen applied during various operation for hemostasis. Some complications of Gelfoam(R), such as mechanical cord compression, postoperative swelling and mass effect in closed cavity have been reported. MATERIALS AND METHODS: The patient was underwent posterior decompression and instrumented posterolateral fusion under the diagnosis of the ossification of ligamentum flavum at T10-11 and T11-12. In operation, Gelfoam(R) was used at epidural space. She complained of sensory deterioration and muscle weakness around lower extremities after 10days postoperatively. A second operation was performed. RESULTS: Postoperatively, the patient immediately improved motor grade except spasticity. She is under observation. CONCLUSIONS: Gelfoam(R) at epidural space after posterior decompression can result hyperactive immune reaction and irritate spinal cord.
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Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Medula Espinal
/
Doenças da Medula Espinal
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Fusão Vertebral
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Colágeno
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Ligamento Amarelo
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Debilidade Muscular
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Extremidade Inferior
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Descompressão
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Espaço Epidural
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Esponja de Gelatina Absorvível
Limite:
Humans
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article