Dural Repair
Dural tears are a common concern during traditional open or mini-open spine surgery, with studies showing as high as a 10% occurrence rate during lumbar stenosis procedures.1-4 This page provides information and solutions for the management of incidental durotomies during endoscopic procedures.
References
1. Nielsen TH, Rasmussen MM, Thygesen MM. Incidence and risk factors for incidental durotomy in spine surgery for lumbar stenosis and herniated disc. Acta Neurochir (Wien). 2022;164(7):1883-1888.
2. Greil ME, Bergquist J, Kashlan ON, Kwon WK, Durfy S, Hofstetter CP. Incidence and management of dural tears in full-endoscopic unilateral laminotomies for bilateral lumbar decompression. Eur Spine J. 2023;32(8):2889-2895. doi:10.1007/s00586-023-07749-7
3. Lewandrowski KU, Hellinger S, De Carvalho PST, et al. Dural tears during lumbar spinal endoscopy: surgeon skill, training, incidence, risk factors, and managment. Int J Spine Surg. 2021;15(2):280-294. doi:10.14444/8038
4. Trathitephun W, Asawasaksakul A, Jaruwanneechai K, et al. Intraoperative management of iatrogenic durotomy in endoscopic spine surgery: a systematic review. Neurospine. 2024;21(3):756-766. doi:10.14245/ns.2448346.173