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J Neurol Surg A Cent Eur Neurosurg. 2013 Nov;74(6):373-7. doi: 10.1055/s-0032-1320028. Epub 2012 Dec 18.

The frequency of accidental dural tears in minimally invasive spinal fusion techniques.

Author information

1
Department of Orthopedic Surgery, Landesklinikum Mostviertel Amstetten, Amstetten, Austria.

Abstract

BACKGROUND:

Accidental dural tears (ADTs) are one of the most frequent complications of spinal surgery. Minimally invasive spinal surgery (MISS) has been described as a promising approach in the literature. ADT has been extensively reported in connection with open spinal surgery, but less so in the context of MISS.

PATIENTS AND METHODS:

We reviewed 72 patients who had undergone minimally invasive spinal fusions techniques.

RESULTS:

Ten patients (13.9%) had an ADT. We recommended bed rest for 2.5 to 5 days, depending on the type of repair and the size of cerebrospinal fluid leakage. One patient suffered from a transient meningism, whereas the others remained free of symptoms associated with ADT.

CONCLUSION:

Despite the rather small series investigated in the study, the frequency of ADT in MISS appears to be comparable to that encountered when using open surgical techniques.

PMID:
23250875
DOI:
10.1055/s-0032-1320028
[Indexed for MEDLINE]

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