Efficacy of a Standardized 48-Hour Flat-prone, Bed Rest Protocol for Postoperative Cerebrospinal Fluid Leakage Following Spinal Surgery
Keywords:
Spinal surgery ,CSF leak prone posture, bed rest ,spinal instrumentation.Abstract
Objective: To evaluate the efficacy of a standardized 48-hour flat-prone bed rest protocol in managing postoperative cerebrospinal fluid leakage following spinal surgery.Methods: This retrospective cohort study analyzed 114 patients who underwent spinal
instrumentation between 2018 and 2023 and experienced documented postoperative CSF leakage. All patients were managed with a standardized protocol mandating 48 hours of strict flat-prone, bed rest, followed by a gradual postural transition. Clinical outcomes, including the total duration to complete resolution of CSF drainage, length of hospital stay, and incidence of secondary complications, were systematically recorded.
References
• 1 Algahtani A, Alghamdi K, Alsharif HA, et al. Risk factors and clinical outcomes of cerebrospinal fluid leakage following spinal surgery: insights from a single-center study. J Spine Pract. 2025;4(3):116-125. doi:10.18502/jsp.v4i3.17930.
