Management of giant pseudomeningoceles after spinal surgery

<p>Abstract</p> <p>Background</p> <p>Pseudomeningoceles are a rare complication after spinal surgery, and studies on these complex formations are few.</p> <p>Methods</p> <p>Between October 2000 and March 2008, 11 patients who developed symptomatic pseudomeningoceles after spinal surgery were recruited. In this retrospective study, we reported our experiences in the management of these complex, symptomatic pseudomeningoceles after spinal surgery. A giant pseudomeningocele was defined as a pseudomeningocele >8 cm in length. We also evaluated the risk factors for the formation of giant pseudomeningoceles.</p> <p>Results</p> <p>All patients were treated successfully with a combined treatment protocol of open revision surgery for extirpation of the pseudomeningoceles, repair of dural tears, and implantation of a subarachnoid catheter for drainage. Surgery-related complications were not observed. Recurrence of pseudomeningocele was not observed for any patient at a mean follow-up of 16.5 months. This result was confirmed by magnetic resonance imaging.</p> <p>Conclusions</p> <p>We conclude that a combined treatment protocol involving open revision surgery for extirpation of pseudomeningoceles, repair of dural tears, and implantation of a subarachnoid catheter for drainage is safe and effective to treat giant pseudomeningoceles.</p

Public dollars, religious schools: Where do we go from here? (tape 1 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 4 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 4 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 1 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 2 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 2 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 3 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine

Public dollars, religious schools: Where do we go from here? (tape 3 of 4)

Conference held at Case Western Reserve University School of Law, October 24, 1997. Sponsors: The National Committee for Public Education & Religious Liberty and Case Western Reserve University School of Law & Public Policy Program Funding provided by: The Eleanor R. Gerson Philanthropic Fund, The George Gund Foundation, the Nord Family Foundation Contents: Keynote speech / Clarence Page--Teaching the decisions / Gary Simson--School aid to date / Judge Paul B. Higginbotham--Commentary on the law / Robert A. Sedler, George Dent--Facts on public aid to religious schools in Ohio / Howard Fleeter--What church-state funding debates mean for Cleveland / Imam Da\u27ud Abdul Malik, Michael Charney, Lydia Harris, John Nairus--Church-state debates: the long-term implications / David Hammack, Kevin O\u27Brien, John Allen, Barbara Mine