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Cureus. 2017 Jul 21;9(7):e1500. doi: 10.7759/cureus.1500.

Oxidized Cellulose (Surgicel) Causing Postoperative Cauda Equine Syndrome.

Cureus

Tarush Rustagi, Kunal Patel, Sujit Kadrekar, Akshay Jain

Affiliations

  1. Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi.
  2. Department of Orthopedics and Joint Replacement, Punit Orthopedic Hospital, Mumbai.
  3. Department of Orthopedics, Lokmanya Hospital, Pune.
  4. Department of Orthopedics, SAIMS, Indore.

PMID: 28948120 PMCID: PMC5608483 DOI: 10.7759/cureus.1500

Abstract

Hemostatic agents are often used in spine surgery to control excessive bleeding. Oxidized cellulose (OC) is a common hemostatic agent used for this purpose. We present a case of postoperative cauda equina syndrome caused by Surgicel (Johnson & Johnson, New Jersey, US). An emergent decompression led to complete recovery. All attempts should be made to remove OC before closure after hemostasis has been achieved.

Keywords: cauda equina; cauda equina syndrome; hemostasis; oxidised cellulose; surgicel

Conflict of interest statement

The authors have declared that no competing interests exist.

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