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217870

Risk Factors for Unintended Durotomy in Lumbar Spine Surgery

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Unintended durotomy is the most frequent intraoperative complication during lumbar spine surgery reaching up to 16% in some studies. It must be managed properly by the surgeon intraoperatively and postoperatively. Aim of Study: The aim of the study is to recognize the risk factors for unintended durotomies in lumbar spine surgery. Patients and Methods: The study was conducted over 263 patients who were operated upon for lumbar spine degen-erative disease, from which data was collected including age, type of surgery, associated medical disorders. Results: Discectomy was done for 65 patients and lami-nectomy was done for 198 patients. Four cases had durotomy in the discectomy patients while 29 cases had unintended durotomy in the laminectomy patients. The incidence was higher in older patients (mean 65±13 vs 53±14 years of age). Unintended durotomy is more in revision surgery. Conclusion: The incidence of unintended durotomy is more in laminectomy, recurrent surgeries, lumbar fixation and older age.

DOI

10.21608/mjcu.2021.217870

Keywords

Unintended durotomy, Lumbar, Recurrent

Authors

First Name

HUSSEIN SOFFAR, M.D.;

Last Name

MOHAMED ELMALLAWANY, M.D.

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First Name

AYMAN

Last Name

TAREK MAHMOUD, M.D.

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Affiliation

The Department of Neurosurgery, Faculty of Medicine, Cairo University

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Volume

89

Article Issue

December

Related Issue

22432

Issue Date

2021-12-01

Receive Date

2021-09-07

Publish Date

2021-12-01

Page Start

2,667

Page End

2,669

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_217870.html

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https://mjcu.journals.ekb.eg/service?article_code=217870

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51

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

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https://mjcu.journals.ekb.eg/

MainTitle

Risk Factors for Unintended Durotomy in Lumbar Spine Surgery

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Article

Created At

22 Jan 2023