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- Jong Ki Shin, Myung Soo Youn, Yoon Jae Seong, Tae Sik Goh, and Jung Sub Lee.
- Department of Orthopaedic Surgery, Myungeun Hospital, 184 World Cup-daero, Yeonje-gu, Busan, 47521, South Korea.
- Eur Spine J. 2018 Jul 1; 27 (Suppl 3): 544-548.
BackgroundWith the advancement of minimally invasive spinal surgery, endoscopic lumbar decompression has been widely used for the treatment of degenerative lumbar spinal diseases. Iatrogenic dural tear is a relatively common complication in endoscopic lumbar spinal surgery. The golden standard of treatment for iatrogenic dural tear is immediate open conversion and direct repair under microscopic visualization. Recently, most of endoscopic spinal surgery is performed under local anesthesia. So, conversion to open surgery is very embarrassing situation because of the need of additional general anesthesia. But, direct endoscopic dural repair is very difficult procedure due to the limitation of manipulation. No report showed direct dural suture under full endoscopic situation.PurposeThe purpose of this surgical technique is to provide a method of full endoscopic dural suture repair without conversion to open surgery.
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