Subfascial drainage and clipping technique for treatment of cerebrospinal fluid leak following spinal surgery

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Figure 1
Illustration of the subfascial drainage and clipping (SDC) technique. A) subfascial drain is clipped (4 h) B) clamp is removed and spontaneous drainage is allowed (10 min).
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Figure 2
Daily drainage output in 2 groups. C - Control group, SDC - Subfascial drainage and clipping group

Table 1

Comparative analysis of 2 study groups.

Variables	SDC (n=25)	Control (n=21)	P-value
Age	60.2±14.3	61.1±10.8	0.823
Gender	13 male, 12 female	11 male, 10 female	0.607
Pathologies	Degenerative scoliosis and spinal stenosis (n=10) Recurrent disc herniation (n=5) Spinal stenosis (n=6) Spondylolisthesis (n=4)	Degenerative scoliosis and spinal stenosis (n=9) Recurrent disc herniation (n=5) Spinal stenosis (n=3) Spondylolisthesis (n=4)	0.871
Previous surgery n (%)	9 (36)	6 (29)	0.754
Drain duration (day)	7.4±1.0	2.0±0	<0.001
Drained volume Day 1	342.8±11.0	321.9±17.5	<0.001
Drained volume Day 2	248.0±15.5	190.5±12.0	<0.001
Hospital stay (day)	8.4±1.0	10.0±1.3	<0.001
Pseudomeningocele	-	1	n/a
Revision surgery	-	4	0.02
Lumbar drainage	-	7	0.002
Infection	-	-	n/a
SDC - subfascial drainage and clipping