Gelfoam Granuloma Formation and Myelopathy after Posterior Decompression in Thoracic Spine - A Case Report -

Kyu Yeol Lee, Jin Hun Kang, Hyo Jong Kim
2011 Journal of Korean Society of Spine Surgery  
of Literature Review: The Gelfoam ® or microfibrillar collagen applied during various operation for hemostasis. Some complications of Gelfoam ® , such as mechanical cord compression, postoperative swelling and mass effect in closed cavity have been reported. Materials and Methods: The patient was underwent posterior decompression and instrumented posterolateral fusion under the diagnosis of the ossification of ligamentum flavum at T10-11 and T11-12. In operation, Gelfoam ® was used at epidural
more » ... s used at epidural space. She complained of sensory deterioration and muscle weakness around lower extremities after 10days postoperatively. A second operation was performed. Results: Postoperatively, the patient immediately improved motor grade except spasticity. She is under observation. Conclusion: Gelfoam ® at epidural space after posterior decompression can result hyperactive immune reaction and irritate spinal cord.
doi:10.4184/jkss.2011.18.4.268 fatcat:336ciqlu7nf6pm4iefwppap6t4