ArticleSurgical neurology international2013
A review article on the diagnosis and treatment of cerebrospinal fluid fistulas and dural tears occurring during spinal surgery.
Article in Surgical neurology international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Microendoscopic discectomy versus open discectomy for lumbar disc herniation: a meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Pooled it
- Acute myelopathy caused by granuloma formation secondary to gelatin sponge: A case report of a rare complication.Surgical neurology international · 2025Article
- The PEG-coated collagen patch Hemopatch® for hemostasis and dural sealing in neurosurgery.Frontiers in surgery · 2025Article
- Application of Using Gore Preclude MVP Dura Substitute for Intraoperative Durotomy Repair in Lumbar Spine Surgery: Case Series and A Technical Note.Asian journal of neurosurgery · 2024Article
- Endoscopic double line suture repair technique for repairing Iatrogenic dural tear: a technical case report.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Unintended dural tears during unilateral biportal endoscopic lumbar surgery: incidence and risk factors.Acta neurochirurgica · 2024Article
- Pedicled multifidus muscle flaps to treat dural tears due to penetrating spinal stab wounds: Two case reports and a literature review.Surgical neurology international · 2024Article
- Perspective: Risks/adverse events for epidural spinal injections.Surgical neurology international · 2024Review
- Clinical management of dural defects: A review.World journal of clinical cases · 2023Review
- Late presentation of dural tears: Two case reports and review of literature.World journal of clinical cases · 2023Article
- Perspective: Early direct repair of recurrent postoperative cerebrospinal (CSF) fluid leaks: No good evidence epidural blood patches (EBP) work.Surgical neurology international · 2023Review
- Successful epidural fibrin glue patch to treat intracranial hypotension in a patient with bacteraemia and malignancy.BJA open · 2022Article
- Dural tear repair surgery comparative analysis: a stitch in time saves nine.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Tension pneumocephalus following endoscopic resection of a mediastinal thoracic spinal tumor: A case report.World journal of clinical cases · 2022Article
- Long-segment fixation versus short-segment fixation with instrumentation of index vertebra for thoracolumbar fractures.Surgical neurology international · 2022Article
- Medicolegal corner (spine): Contraindicated use of DuraSeal in anterior cervical spine led to quadriplegia.Surgical neurology international · 2021Review
- Intradural disc herniation at the L1-2 level.Surgical neurology international · 2021Article
- Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series.Medicina (Kaunas, Lithuania) · 2020Article
- Intradural disc herniation at L4/5 level causing Cauda equina syndrome: A case report.Medicine · 2020Article
- Safe Discharge of Patients From an Ambulatory Care Center After Incidental Durotomy During Minimally Invasive Spine Surgery.International journal of spine surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn spinal surgery, cerebrospinal fluid (CSF) fistulas attributed to deliberate dural opening (e.g., for tumors, shunts, marsupialization of cysts) or inadvertent/traumatic dural tears (DTs) need to be readily recognized, and appropriately treated.
methodsDuring spinal surgery, the dura may be deliberately opened to resect intradural lesions/tumors, to perform shunts, or to open/marsupialize cysts. DTs, however, may inadvertently occur during primary, but are seen more frequently during revision spinal surgery often attributed to epidural scarring. Other etiologies of CSF fistulas/DTs include; epidural steroid injections, and resection of ossification of the posterior longitudinal ligament (OPLL) or ossification of the yellow ligament (OYL). Whatever the etiology of CSF fistulas or DTs, they must be diagnosed utilizing radioisotope cisternography (RIC), magnetic resonance imaging (MRI), computed axial tomography (CT) studies, and expeditiously repaired.
resultsDTs should be repaired utilizing interrupted 7-0 Gore-Tex (W.L. Gore and Associates Inc., Elkton, MD, USA) sutures, as the suture itself is larger than the needle; the larger suture occludes the dural puncture site. Closure may also include muscle patch grafts, dural patches/substitutes (bovine pericardium), microfibrillar collagen (Duragen: Integra Life Sciences Holdings Corporation, Plainsboro, NJ), and fibrin glues or dural sealants (Tisseel: Baxter Healthcare Corporation, Deerfield, IL, USA). Only rarely are lumbar drains and wound-peritoneal and/or lumboperitoneal shunts warranted.
conclusionDTs or CSF fistulas attributed to primary/secondary spinal surgery, trauma, epidural injections, OPLL, OYL, and other factors, require timely diagnosis (MRI/CT/Cisternography), and appropriate reconstruction.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.