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European Spine Journal

, Volume 14, Issue 3, pp 287–290 | Cite as

Incidental durotomy in lumbar spine surgery: incidence and management

  • Suhayl I TafazalEmail author
  • Philip J Sell
Original Article

Abstract

There is increasing awareness of the need to inform patients of common complications that occur during surgical procedures. During lumbar spine surgery, incidental tear of the dural sac and subsequent cerebrospinal fluid leak is possibly the most frequently occurring complication. There is no consensus in the literature about the rate of dural tears in spine surgery. We have undertaken this study to evaluate the incidence of dural tears among spine surgeons in the United Kingdom for commonly performed spinal procedures. Prospective data was gathered for 1,549 cases across 14 institutions in the United Kingdom. The results give us a baseline rate for the incidence of dural tears. The rate was 3.5% for primary discectomy, 8.5% for spinal stenosis surgery and 13.2% for revision discectomy. There was a wide variation in the actual and estimated rates of dural tears among the spine surgeons. The results confirm that prospective data collection by spine surgeons is the most efficient and accurate way to assess complication rates for spinal surgery.

Keywords

Complication rates Incidental durotomy Lumbar spine surgery 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Leicester General HospitalUniversity Hospitals LeicesterLeicesterUK

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