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Airway Obstruction Caused by Cerebrospinal Fluid Leakage After Anterior Cervical Spine SurgeryA Report of Two Cases
Han Soo Chang, MD1; Shiro Kondo, MD1; Junichi Mizuno, MD1; Hiroshi Nakagawa, MD1
1 Department of Neurological Surgery, Aichi Medical University, Yazako-Karimata, Nagakute-cho, Aichi-gun, Aichi 480-1195, Japan. E-mail address for H.S. Chang: chang@aichi-med-u.ac.jp
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Department of Neurological Surgery, Aichi Medical University, Aichi, Japan

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Feb 01;86(2):370-372
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Cerebrospinal fluid leakage is a relatively rare complication after an anterior cervical spine operation1, except when the diagnosis includes ossification of the posterior longitudinal ligament. In patients with such a diagnosis, the dura is usually thin because of long-standing compression by the ossification; furthermore, there may be a dural defect or dural ossification2. Although cerebrospinal fluid leakage may cause wound dehiscence and subsequent infection, it has not been recognized as a cause of airway problems, to our knowledge. In this report, we present two cases of postoperative cerebrospinal fluid leakage that caused acute airway obstruction, requiring emergency treatment. The patients were informed that data concerning the cases could be submitted for publication.
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