ArticleJournal of clinical orthopaedics and trauma2023
Dural injury following elective spine surgery - A prospective analysis of risk factors, management and complications.
Article in Journal of clinical orthopaedics and trauma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 8 citations in OpenAlex.
- Recommendations of the International Consensus Meeting (ICM) 2025 on Spinal Infections: Part A Pyogenic Spondylodiscitis.Global spine journal · 2026Article
- Incidence and Management of Cerebrospinal Fluid Leakage due to Late Presentation of Dural Tears After Lumbar Surgery.Orthopaedic surgery · 2026Article
- Interlaminar versus sublaminar lumbar decompression: a retrospective study on patient satisfaction as measured by PROMIS outcomes.Journal of spine surgery (Hong Kong) · 2026Article
- Article
- Traumatic Durotomy with Entrapment of Nerve Roots in a Lumbar Burst Fracture Diagnosed Intraoperatively: A Case Report.Journal of orthopaedic case reports · 2026Article
- Delayed myelopathy caused by cerebrospinal fluid pseudocyst following decompression for thoracic ossification of the ligamentum flavum: a case report and literature review.BMC musculoskeletal disorders · 2026Review
- Reducibility-Based Posterior Reduction and Fusion Strategies for Atlantoaxial Dislocation: A Clinical and Radiological Study.Neurospine · 2026Article
- The best solution is the simplest: advances in surgical and minimally invasive management of aneurysmal and simple bone cysts.Journal of orthopaedic surgery and research · 2026Review
- A novel, tissue-selective burr for temporal bone drilling.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Clinical outcomes and complications of robotic-assisted spine surgery: using the ExcelsiusGPS system: a single-surgeon case series.Journal of robotic surgery · 2025Article
- The hidden risk: Intracranial hemorrhage following durotomies in spine surgery.North American Spine Society journal · 2024Article
- Thoracolumbar fractures patients undergoing posterior pedicle screw fixation can benefit from drainage.BMC musculoskeletal disorders · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Incidental dural tears being a familiar complication in spine surgery could result in dreaded postoperative outcomes. Though the literature pertaining to their incidence and management is vast, it is limited by the retrospective study designs and smaller case series. Hence, we performed a prospective study in our institute to determine the incidence, surgical risk factors, complications and surgical outcomes in patients with unintended durotomy during spine surgery over a period of one year. The overall incidence in our study was 2.3% (44/1912). Revision spine surgeries in particular had a higher incidence of 16.6%. The average age of the study population was 51.6 years. The most common intraoperative surgical step associated with dural tear was removal of the lamina, and 50% of the injuries were during usage of kerrison rongeur. The most common location of the tear was paramedian location (20 patients) and the most common size of the tear was about 1 mm-5mm (31 patients). We observed that the dural repair techniques, placement of drain and prolonged post-operative bed rest didnot significantly affect the post-operative outcomes. One patient in our study developed persistent CSF leak, which was treated by subarachnoid lumbar drain placement. No patients developed pseudomeningocele or post-operative neurological worsening or re-exploration for dural repair. Wound complications were noted in 4 patients and treated by debridement and antibiotics. Based on our study, we have proposed a treatment algorithm for the management of dural tears in spine surgery.
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