ArticleMedicine2025
Delayed cerebrospinal fluid leak following lumbar interbody fusion caused by floating lamina: A case report.
Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
rationaleDelayed cerebrospinal fluid (CSF) leakage after lumbar interbody fusion are scarce. Known causes include severe spinal canal stenosis and iatrogenic factors. This case presents a unique etiology, highlighting the importance of timely management. Prediction and prevention of postoperative complications is crucial. PATIENT CONCERNS: We report a 37-year-old woman had recurrent low back pain and radiating right lower extremity pain for 2 years, which had exacerbated over the past week. Imaging revealed mild L5 spondylolisthesis, a free fragment of the L5-S1 lumbar disc, bilateral L5 pars defects (spondylolysis), and floating L5 lamina. Treatment involved L5 right laminectomy and L5-S1 lumbar interbody fusion. On postoperative day 6, the patient developed headache and bulging at the incision site. DIAGNOSES: Combined with analysis of the aspirated fluid, magnetic resonance imaging indications and patient's symptoms, a diagnosis of delayed CSF leak was made.
interventionsResection of the remaining and floating L5 left lamina and direct suturation were performed for dural tear repair followed by postoperative drainage tube placement. OUTCOMES: The patient was discharged with successful recovery 2 weeks after the second surgery. Follow-up lumbar magnetic resonance imaging confirmed resolution of the CSF leak and satisfactory recovery. LESSONS: In lumbar pathologies with unique anatomy like a floating lamina, vigilance for delayed CSF leak is crucial. Meticulous preoperative imaging review and adaptable surgical strategies beyond conventional approaches are essential for preventing recurrence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.