Ricardo Rezende Campos
, Charbel Jacob Junior, Marcelo Botelho Soares de Brito , Jorge Felipe Ramírez León, Gabriel Oswaldo Alonso Cuéllar , Sonja Ellen Lobo , João Paulo Machado Bergamaschi
DOI: http://dx.doi.org/10.1590/S1808-185120262502304604
Resumo:
ABSTRACT
Minimally invasive spine surgery has achieved remarkable advances in recent years. Despite the numerous benefits associated with
this approach, some complications may still occur. Among them, the use of continuous irrigation in the epidural space stands out, as it
can cause changes in intracranial pressure (ICP). The present study aims to conduct a systematic review of the literature on ICP variations during endoscopic lumbar spine surgery. To this end, a search was carried out in the PubMed, Embase, Scielo, Lilacs, and Google
Scholar databases, selecting studies that evaluated ICP intraoperatively during endoscopic spine procedures. Five comparative studies
were included: three measured epidural pressure as an indirect surrogate of intracranial pressure (ICP), whereas two performed direct ICP
measurements. Three of these studies identified significant changes in ICP during the procedure, whereas two did not observe relevant
fluctuations. The analysis of the literature therefore confirms the possibility of ICP variations occurring intraoperatively in endoscopic lumbar
spine surgeries. Level of Evidence III; Systematic Review.
Resumen:
