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Results The CSF fistulas were resolved in all. Two patients required revisions of the shunt prior to resolving the fistula and subsequent shunt removal. Three patients acquired a lumbar wound/shunt infection, which necessitated shunt removal. Subsequent to removal, the infection resolved and there was no recurrence of the CSF leak. All patients but two had their shunts completely removed within one year of placement (Range: 2–21 months, Mean: 8.7 ± 5.0 months SD). Two patients did not have their shunts removed due to parental decision for no further surgery. Conclusion We conclude that spinal postoperative subcutaneous CSF fistulas may be successfully treated with temporary subcutaneous peritoneal shunts. This reduces hospital stay and more extensive or multiple surgical interventions. from 50th Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida Cambridge, UK. 30 August – 2 September 2006

Temporary subcutaneous peritoneal shunts for the treatment of cerebrospinal fluid fistulas following operations on the spine for congenital anomalies