Experience with acellular human dura and bovine collagen matrix for duraplasty after posterior fossa decompression for Chiari malformations

Journal of Neurosurgery
Shabbar F DanishLeslie Sutton

Abstract

Posterior fossa decompression with duraplasty is routinely used for the treatment of Chiari malformations. It has been traditionally believed that this procedure requires a watertight seal with primary closure of the dura with either pericranium or allograft. In this study, the authors evaluated two synthetic dural substitutes in this patient population for feasibility of use and identification of perioperative morbidity. The authors evaluated 56 patients who underwent duraplasty with a synthetic collagen matrix (DuraGen) after suboccipital craniectomy and C-1 laminectomy, and 45 patients in whom the dural closure involved acellular human dermis (AlloDerm). Patients in both groups were assessed for the presence of a pseudomeningocele, wound infection, cerebrospinal fluid (CSF) leak, and the need for repeated operation either for wound revision or the placement of a ventriculoperitoneal shunt. Operative times for which DuraGen duraplasty was used were compared with those for AlloDerm closure. In the DuraGen group, complications included five pseudomeningoceles (8.9%), two wound infections (3.6%), one CSF leak (1.8%), and four repeated operations (three shunt revisions and one reexploration; 7.1%) in nine patients. In the AlloDer...Continue Reading

References

Nov 1, 1991·Neurosurgery·F A Boop, W M Chadduck
Nov 1, 1990·Journal of the Neurological Sciences·A VegaJ Berciano
Sep 1, 1994·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·J ParízekJ Jakubec
Mar 1, 1995·Journal of Neurosurgery·P K NarotamK D Bhoola
Nov 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·E G Fischer
Jan 1, 1997·Acta neurochirurgica·R VerheggenE Markakis
Nov 30, 1999·Critical Reviews in Neurosurgery : CR·R BerjanoM Dujovny
Aug 4, 2001·Neurosurgical Review·R FilippiA Perneczky
Sep 26, 2002·Journal of Neurosurgery·R Shane TubbsW Jerry Oakes
Jan 7, 2004·Surgical Neurology·Emanuela CaroliRoberto Delfini
Mar 17, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ramon NavarroTadanori Tomita
Sep 30, 2004·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Ricardo OphofAnne-Marie Kuijpers-Jagtman

❮ Previous
Next ❯

Citations

Jun 11, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Gregory G HeuerLeslie N Sutton
Sep 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Frank J AttenelloGeorge I Jallo
Oct 5, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Todd HankinsonJohn C Wellons
Aug 3, 2011·Journal of Neurosurgery. Pediatrics·Stephen R ParkerGerald Grant
Jun 28, 2011·Journal of Neurosurgery. Spine·Michael A FinnPaul A Anderson
Aug 21, 2012·Surgical Neurology International·Jamie Baisden
Oct 10, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Albert TuPaul Steinbok
Oct 5, 2010·Journal of Craniovertebral Junction and Spine·Adib A AblaVolker K H Sonntag
Jul 7, 2011·Acta neurochirurgica·Hirotaka ItoAkio Morita
Jul 10, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Samuel KalbRuth E Bristol
Nov 29, 2011·World Neurosurgery·Rafael Augusto Castro Santiago BrandãoAtos Alves de Sousa
Nov 8, 2014·Acta neurochirurgica·Christian A BowersRichard H Schmidt
Nov 5, 2010·Arquivos de neuro-psiquiatria·José Alberto Gonçalves da SilvaAdailton Arcanjo dos Santos
May 4, 2011·Arquivos de neuro-psiquiatria·Bruno Silva CostaAtos Alves de Sousa
Feb 12, 2013·Journal of Neurosurgery·Azeem O OladunjoyeKiarash Shahlaie
Aug 14, 2012·Journal of Neurosurgery. Pediatrics·Thomas RidderJennifer L Rhodes
Jul 3, 2009·Journal of Neurosurgery. Spine·E Andrew StevensRobert G Ojemann
May 2, 2015·Journal of Neurosurgery. Pediatrics·Benjamin C KennedyNeil A Feldstein
Oct 7, 2010·Journal of Diabetes·Carina De ConinckKenneth Strauss
Sep 6, 2007·Pediatric Neurosurgery·Fuyou GuoLaijun Song
Nov 5, 2019·Journal of Korean Neurosurgical Society·Ceren KizmazogluHasan Havitcioglu
Mar 3, 2009·Neurosurgery·Shaye I MoskowitzAjit A Krishnaney

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.