ABSTRACT
One of the most well-known side effects of lumbar spine surgery is dural tears, which can be successfully treated using a variety of methods. Some of the procedures include primary repair, closed subarachnoid drainage, tissue grafting, fibrin-adhesive closure, and bed rest. A new strategy of preventing Cerebrospinal fluid (CSF) leak is employed in this study, which includes post-operative sand bag pressure. Evaluation use sand bag to preventing postoperative CSF leak in lumbar spine surgeries. A prospective study 96 patients at the Hospital. Student t-test and Chi-squared or Fisher Exact’s tests used for CSF leak following various lumbar spine surgeries. Between March 2006 and March 2010, 52 patients were treated using standard treatments, and between March 2010 and March 2013, 44 patients with a post-operative CSF leak were treated with sand bag pressure. Patients in the traditionally treated group mean age 28.33, male to female ratio 11:2, (13.5 percent) ceased CSF leaks on the first day, but those in the post-operative sand bag pressure group mean age 31.32, male to female ratio 10.6:2, (68.2 percent) ceased CSF leaks on the first day. In terms of post-operative complications, the classically treated group had headache (55.7 percent), photophobia (25.0 percent), nausea (32.7 percent), vomiting (15.4 percent), meningitis (5.8 percent), and revision surgery (9.6 percent), whereas the post-operative sand bag pressure group had headache (20.5 percent), photophobia (9.1 percent), nausea (11.4 percent), vomiting (2.3 percent), meningitis (2.3 percent), and revision surgery (0 percent). Sand bag pressure is a great way to shorten the length and severity of a CSF leak.
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