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Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery.

Publication ,  Journal Article
Than, KD; Wang, AC; Etame, AB; La Marca, F; Park, P
Published in: Minim Invasive Neurosurg
October 2008

Unintended durotomy is a relatively common complication in spine surgery, with a reported incidence up to 14%. Traditional management has been mandatory bed rest for at least 48 h following repair, with or without placement of a drain. With the muscle-splitting approach and decreased potential (dead) space created during minimally invasive spinal surgery (MISS), there is less potential likelihood of symptoms such as spinal headaches or cerebrospinal fluid fistulas. We reviewed the cases of 5 patients undergoing lumbar MISS complicated by an incidental dural tear. Surgical treatment consisted of primary repair and/or use of DuraGen followed by application of either DuraSeal or Tisseel. Although the duration of bed rest varied, postoperative management involved early mobilization less than 48 h after surgery without the use of a drain. One patient was mobilized early on the second postoperative day, 2 patients were mobilized the morning after surgery, and 2 patients were mobilized immediately upon recovery from anesthesia. None of the patients developed symptoms related to durotomy. Although this represents a small series, early postoperative mobilization appears to be a reasonable option and results in shorter hospitalization.

Duke Scholars

Published In

Minim Invasive Neurosurg

DOI

ISSN

0946-7211

Publication Date

October 2008

Volume

51

Issue

5

Start / End Page

263 / 266

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Fusion
  • Spinal Diseases
  • Reoperation
  • Radiography
  • Postoperative Care
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Minimally Invasive Surgical Procedures
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
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Than, K. D., Wang, A. C., Etame, A. B., La Marca, F., & Park, P. (2008). Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery. Minim Invasive Neurosurg, 51(5), 263–266. https://doi.org/10.1055/s-0028-1082313
Than, K. D., A. C. Wang, A. B. Etame, F. La Marca, and P. Park. “Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery.Minim Invasive Neurosurg 51, no. 5 (October 2008): 263–66. https://doi.org/10.1055/s-0028-1082313.
Than KD, Wang AC, Etame AB, La Marca F, Park P. Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery. Minim Invasive Neurosurg. 2008 Oct;51(5):263–6.
Than, K. D., et al. “Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery.Minim Invasive Neurosurg, vol. 51, no. 5, Oct. 2008, pp. 263–66. Pubmed, doi:10.1055/s-0028-1082313.
Than KD, Wang AC, Etame AB, La Marca F, Park P. Postoperative management of incidental durotomy in minimally invasive lumbar spinal surgery. Minim Invasive Neurosurg. 2008 Oct;51(5):263–266.
Journal cover image

Published In

Minim Invasive Neurosurg

DOI

ISSN

0946-7211

Publication Date

October 2008

Volume

51

Issue

5

Start / End Page

263 / 266

Location

Germany

Related Subject Headings

  • Treatment Outcome
  • Spinal Fusion
  • Spinal Diseases
  • Reoperation
  • Radiography
  • Postoperative Care
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Minimally Invasive Surgical Procedures
  • Middle Aged