Dural Tears in Spine Surgery

被引:52
作者
Espiritu, Michael T. [1 ]
Rhyne, Alfred [2 ]
Darden, Bruce V., II [2 ]
机构
[1] Ctr Neurosci Orthopaed & Spine, Dakota Dunes, SD USA
[2] OrthoCarolina Spine Ctr, Charlotte, NC USA
关键词
CEREBROSPINAL-FLUID LEAKS; UNINTENDED INCIDENTAL DUROTOMY; LUMBAR SPINE; POSTMYELOGRAPHY HEADACHE; SUBARACHNOID DRAINAGE; TECHNICAL NOTE; CANINE MODEL; MANAGEMENT; REPAIR; PREVENTION;
D O I
10.5435/00124635-201009000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Dural 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.
引用
收藏
页码:537 / 545
页数:9
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