Intracranial hypotension following scoliosis surgery: dural penetration of a thoracic pedicle screw


Albayram S., Ulu M. O., Hanimoglu H., Kaynar M. Y., Hanci M. M.

EUROPEAN SPINE JOURNAL, vol.17, 2008 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 17
  • Publication Date: 2008
  • Doi Number: 10.1007/s00586-008-0681-2
  • Journal Name: EUROPEAN SPINE JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Istanbul University Affiliated: Yes

Abstract

The authors report on a 14 years old female with intracranial hypotension who had a history of spinal instrumentation surgery for scoliosis 3 months prior to her admission. She had been diagnosed with migraine in a neurology clinic and was under medical therapy when presented. During the investigation process, a right thoracic pedicle screw, which was penetrating and transversing the dura mater at the T3-T4 level was identified. The diagnosis and management of such a case is discussed. Knowledge of this entity is of extreme importance to spine surgeons, in order to prevent delayed diagnosis and possible complications.