PDF(Pubmed)
Abstract：
UNASSIGNED: Lumbar drain (LD) placement can be a difficult procedure leading to postprocedure complications, particularly in patients with persistent cerebrospinal fluid leaks or a large body habitus. The objective of this technical case report is to describe the use of Medtronic\'s SureTrak Navigation system for navigated LD placement.
UNASSIGNED: The patient was an 18-year-old morbidly obese male who initially underwent a suboccipital craniectomy with duraplasty and a C1 laminectomy for Chiari Malformation. Postoperatively, he developed a pseudomeningocele and was taken to the operating room for wound revision, duraplasty repair, and LD placement. Medtronic\'s SureTrak Navigation system was used for LD placement before wound revision. Successful LD placement was achieved in a single pass using the SureTrak Navigation. The patient did well postoperatively, and LD removal occurred on postoperative day 6. The patient was discharged in good condition without evidence of a cerebral spinal fluid leak.
UNASSIGNED: Navigation using the SureTrak system is a reasonable option to use in patients with a high body mass index and a persistent cerebrospinal fluid leak. When the patient is already undergoing an operative procedure, it can aid in an efficient low-risk intervention completed in a single prone positioning.
UNASSIGNED: The patient was an 18-year-old morbidly obese male who initially underwent a suboccipital craniectomy with duraplasty and a C1 laminectomy for Chiari Malformation. Postoperatively, he developed a pseudomeningocele and was taken to the operating room for wound revision, duraplasty repair, and LD placement. Medtronic\'s SureTrak Navigation system was used for LD placement before wound revision. Successful LD placement was achieved in a single pass using the SureTrak Navigation. The patient did well postoperatively, and LD removal occurred on postoperative day 6. The patient was discharged in good condition without evidence of a cerebral spinal fluid leak.
UNASSIGNED: Navigation using the SureTrak system is a reasonable option to use in patients with a high body mass index and a persistent cerebrospinal fluid leak. When the patient is already undergoing an operative procedure, it can aid in an efficient low-risk intervention completed in a single prone positioning.
摘要：
■腰椎引流（LD）的放置可能是一个困难的过程，导致术后并发症，特别是在有持续性脑脊液渗漏或体型较大的患者中。本技术案例报告的目的是描述如何使用Medtronic的SureTrak导航系统进行导航LD放置。
■患者是一名18岁的病态肥胖男性，最初接受了枕骨下颅骨切除术伴硬脑膜成形术和C1椎板切除术治疗Chiari畸形。术后,他出现了假性脑膜膨出，并被带到手术室进行伤口修复，硬膜成形术修复,和LD放置。Medtronic的SureTrak导航系统用于伤口翻修前的LD放置。使用SureTrak导航在单次通过中实现了成功的LD放置。患者术后表现良好，术后第6天进行LD切除。患者出院时状况良好，没有脑脊液渗漏的迹象。
■使用SureTrak系统的导航是在体重指数高且持续存在脑脊液漏的患者中使用的合理选择。当病人已经在接受手术时，它可以帮助在一个单一的俯卧位置完成有效的低风险干预。
■患者是一名18岁的病态肥胖男性，最初接受了枕骨下颅骨切除术伴硬脑膜成形术和C1椎板切除术治疗Chiari畸形。术后,他出现了假性脑膜膨出，并被带到手术室进行伤口修复，硬膜成形术修复,和LD放置。Medtronic的SureTrak导航系统用于伤口翻修前的LD放置。使用SureTrak导航在单次通过中实现了成功的LD放置。患者术后表现良好，术后第6天进行LD切除。患者出院时状况良好，没有脑脊液渗漏的迹象。
■使用SureTrak系统的导航是在体重指数高且持续存在脑脊液漏的患者中使用的合理选择。当病人已经在接受手术时，它可以帮助在一个单一的俯卧位置完成有效的低风险干预。
