• J Am Acad Orthop Sur · Sep 2010

    Review

    Dural tears in spine surgery.

    • Michael T Espiritu, Alfred Rhyne, and Bruce V Darden.
    • Center for Neurosciences, Orthopaedics, & Spine, Dakota Dunes, SD, USA.
    • J Am Acad Orthop Sur. 2010 Sep 1; 18 (9): 537-45.

    AbstractDural tears are among the most commonly seen complications in spine surgery. Most studies in the literature indicate that long-term outcomes are not negatively affected, provided that the tears are diagnosed early and managed appropriately. Direct suture repair remains the preferred method for the management of durotomy caused by or found during surgery. However, recent literature reports encouraging results with sutureless repair. Understanding dural anatomy, dural healing, and cerebrospinal fluid dynamics is helpful in choosing among the available management options for dural tear.

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