Keyhole Fenestration for Cerebrospinal Fluid Leaks in the Thoracic Spine: Quantification of Bone Removal and Microsurgical Anatomy.

Journal: Operative neurosurgery (Hagerstown, Md.)
PMID:

Abstract

BACKGROUND AND OBJECTIVE: A safe working trajectory is mandatory for spinal pathologies, especially in the midline, anterior to the spinal cord. For thoracic cerebrospinal fluid (CSF) leaks, we developed a minimally invasive keyhole fenestration. This study investigates the necessary bone removal for sufficient exposure of different leak types particularly regarding weight-bearing structures.

Authors

  • Florian Volz
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Roberto Doria-Medina
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Christian Fung
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Katharina Wolf
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Amir El Rahal
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Niklas Lützen
    Department of Neuroradiology, Medical Center - University of Freiburg, Freiburg, Germany.
  • Horst Urbach
    Department of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
  • Theresa Bettina Loidl
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Ulrich Hubbe
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Jan-Helge Klingler
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.
  • Jürgen Beck
    Department of Neurosurgery, Medical Center - University of Freiburg, Freiburg, Germany.