Print version ISSN 1808-1851
GRANDESE, Fabiano de Mendonça et al. Management of intraoperatory dural tear in lumbar spine arthrodesis. Coluna/Columna [online]. 2010, vol.9, n.4, pp. 435-439. ISSN 1808-1851. http://dx.doi.org/10.1590/S1808-18512010000400016.
OBJECTIVE: a retrospective study of patients with spinal dural intraoperative lumbar spine surgery, conducted by means of a protocol regardless of the extent of the injury, associated complications and follow-up results after a minimum of one year. METHODS: a total of 10 patients with accidental durotomy in surgical decompression and arthrodesis of the lumbar spine during the period from January 2007 to January 2009 for treatment of degenerative disease had their records reviewed after being treated by a protocol based in primary repair of the lesion, closed subarachnoid drainage, subfascial and subcutaneous aspiration drainage performed by experienced surgeons, combined with relative rest with early mobilization and drug therapy. Their notes and imaging were verified with follow-up aimed to identify symptoms that could suggest complications. RESULTS: all patients had a good outcome, without occurrence of cerebrospinal fluid leaks or postoperative infection; three had postoperative headache of mild intensity. There was no need for reoperation in these patients. CONCLUSION: we concluded that the conduct adopted is safe and has a good outcome for patients when this type of injury occurs, regardless of its extent.
Keywords : Dura Mater [surgery]; Subdural effusion [therapy]; Spinal fusion [instrumentation]; Reoperation; Headache [cerebrospinal].