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
Dans Anglais
| WPRIM
| ID: wpr-67648
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 ANDMETHODS:
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Moelle spinale
/
Maladies de la moelle épinière
/
Arthrodèse vertébrale
/
Collagène
/
Ligament jaune
/
Faiblesse musculaire
/
Membre inférieur
/
Décompression
/
Espace épidural
/
Éponge de gélatine résorbable
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2011
Type:
Article
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