Predictive Factors for Dural Tear in Lumbar Spine Surgery

Background Data: Incidental durotomy is an undesirable but significant complication of lumbar spine surgery Knowing about the predisposing factors for Incidental durotomy and meticulous surgical technique is important to avoid incidental dural tears. Purpose: The purpose of this study is to clarify...

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Autores principales:	Abdelaal Abdelbaky, Walid Younes, Mohammed Adawi
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2015
Materias:	Incidental durotomy Lumbar spine surgery Revision surgery Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d5ccb1e9312f40a5bf2a97c5e1e3c79f
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spelling	oai:doaj.org-article:d5ccb1e9312f40a5bf2a97c5e1e3c79f2021-12-02T04:46:59ZPredictive Factors for Dural Tear in Lumbar Spine SurgeryDOI:10.21608/ESJ.2015.39502314-89502314-8969https://doaj.org/article/d5ccb1e9312f40a5bf2a97c5e1e3c79f2015-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3950.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Incidental durotomy is an undesirable but significant complication of lumbar spine surgery Knowing about the predisposing factors for Incidental durotomy and meticulous surgical technique is important to avoid incidental dural tears. Purpose: The purpose of this study is to clarify the risk factors for ID in lumbar spine surgery and to assess the incidence, treatment and outcome of ID. Study Design: Retrospective descriptive clinical case study. Patients and Methods: A retrospective review was conducted on 450 patients who underwent surgical procedure for the treatment of degenerative lumbar spinal disease. Cases included in this study were operated for disc herniation, spinal stenosis, spondylolisthesis and post-laminectomy syndrome. We excluded Patients treated for spinal tumors, trauma, infections and deformity. Results: Incidental durotomies IDs were identified in 27 (6%) patients. The incidence of ID was much higher in revision procedures (11.9%) than in primary spinal procedures (4.6%). 18 (67%) of the 27 tears were caused by residents with the remaining 9 (33%) caused by the attending surgeon. Of the 27 dural tears 11 (40.7%) were caused by the Kerrison rongeur. All dural tears were repaired primarily. All patients achieved satisfactory outcomes other than 2 patients developed pseudomeningocele. Conclusion: Risk factors that can increase the likelihood of ID were older age, obesity, pervious spinal surgery and decreased experience of the surgeon. The most common instrument leading to ID is the Kerrison. Incidental durotomy can be treated successfully with primary watertight repair, subfascial drains and bed rest. (2015ESJ084)Abdelaal AbdelbakyWalid YounesMohammed AdawiEgyptian Spine AssociationarticleIncidental durotomyLumbar spine surgeryRevision surgeryNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 13, Iss 1, Pp 35-40 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Incidental durotomy Lumbar spine surgery Revision surgery Neurology. Diseases of the nervous system RC346-429
spellingShingle	Incidental durotomy Lumbar spine surgery Revision surgery Neurology. Diseases of the nervous system RC346-429 Abdelaal Abdelbaky Walid Younes Mohammed Adawi Predictive Factors for Dural Tear in Lumbar Spine Surgery
description	Background Data: Incidental durotomy is an undesirable but significant complication of lumbar spine surgery Knowing about the predisposing factors for Incidental durotomy and meticulous surgical technique is important to avoid incidental dural tears. Purpose: The purpose of this study is to clarify the risk factors for ID in lumbar spine surgery and to assess the incidence, treatment and outcome of ID. Study Design: Retrospective descriptive clinical case study. Patients and Methods: A retrospective review was conducted on 450 patients who underwent surgical procedure for the treatment of degenerative lumbar spinal disease. Cases included in this study were operated for disc herniation, spinal stenosis, spondylolisthesis and post-laminectomy syndrome. We excluded Patients treated for spinal tumors, trauma, infections and deformity. Results: Incidental durotomies IDs were identified in 27 (6%) patients. The incidence of ID was much higher in revision procedures (11.9%) than in primary spinal procedures (4.6%). 18 (67%) of the 27 tears were caused by residents with the remaining 9 (33%) caused by the attending surgeon. Of the 27 dural tears 11 (40.7%) were caused by the Kerrison rongeur. All dural tears were repaired primarily. All patients achieved satisfactory outcomes other than 2 patients developed pseudomeningocele. Conclusion: Risk factors that can increase the likelihood of ID were older age, obesity, pervious spinal surgery and decreased experience of the surgeon. The most common instrument leading to ID is the Kerrison. Incidental durotomy can be treated successfully with primary watertight repair, subfascial drains and bed rest. (2015ESJ084)
format	article
author	Abdelaal Abdelbaky Walid Younes Mohammed Adawi
author_facet	Abdelaal Abdelbaky Walid Younes Mohammed Adawi
author_sort	Abdelaal Abdelbaky
title	Predictive Factors for Dural Tear in Lumbar Spine Surgery
title_short	Predictive Factors for Dural Tear in Lumbar Spine Surgery
title_full	Predictive Factors for Dural Tear in Lumbar Spine Surgery
title_fullStr	Predictive Factors for Dural Tear in Lumbar Spine Surgery
title_full_unstemmed	Predictive Factors for Dural Tear in Lumbar Spine Surgery
title_sort	predictive factors for dural tear in lumbar spine surgery
publisher	Egyptian Spine Association
publishDate	2015
url	https://doaj.org/article/d5ccb1e9312f40a5bf2a97c5e1e3c79f
work_keys_str_mv	AT abdelaalabdelbaky predictivefactorsforduraltearinlumbarspinesurgery AT walidyounes predictivefactorsforduraltearinlumbarspinesurgery AT mohammedadawi predictivefactorsforduraltearinlumbarspinesurgery
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Predictive Factors for Dural Tear in Lumbar Spine Surgery

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