Diagnosis and treatment of subarachnoid-pleural fistula following thoracic spine surgery: a case series study and systematic literature review

After thoracic spinal surgery involving parietal pleura manipulation and cerebrospinal fluid leakage, SPF should be suspected with abnormal pleural effusion. Although surgical repair is most commonly used in previous studies, we found SPF could be healed by conservative treatment including bed rest, pleural drainage, lumbar drainage and NPPV.

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Publication Details

Journal
Journal of Orthopaedic Surgery and Research
Published
2025-10-29
DOI
https://doi.org/10.1186/s13018-025-06348-0
Primary Topic
Head and Neck Surgical Oncology
Type
article
Field-Weighted Citation Impact
0.00
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article

Diagnosis and treatment of subarachnoid-pleural fistula following thoracic spine surgery: a case series study and systematic literature review

Runzhi Zhao, Fengzhao Zhu, Juan Wang, Yaqing Zhang et al.
Journal of Orthopaedic Surgery and Research
Head and Neck Surgical Oncology
article

Diagnosis and treatment of subarachnoid-pleural fistula following thoracic spine surgery: a case series study and systematic literature review

Runzhi Zhao, Fengzhao Zhu, Juan Wang, Yaqing Zhang, Ling Lin, Bo Huang
article en

Abstract

After thoracic spinal surgery involving parietal pleura manipulation and cerebrospinal fluid leakage, SPF should be suspected with abnormal pleural effusion. Although surgical repair is most commonly used in previous studies, we found SPF could be healed by conservative treatment including bed rest, pleural drainage, lumbar drainage and NPPV.

Journal of Orthopaedic Surgery and ResearchVol. 20(1)
Army Medical University (CN), XinHua Hospital (CN), Xinqiao Hospital (CN)
Openalex Percentile: Top 51%
Head and Neck Surgical Oncology
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