Review of Intraoperative Durotomies in Spinal Surgery and Its Management Strategies with Current Advances in Treatment |Chapter 2| Medicine and Medical Research: New Perspectives Vol. 11

Intraoperative durotomies in spinal surgeries can have potentially serious consequences if not appropriately addressed. They result from an opening in the dural-arachnoid membrane around the spinal cord, cauda equina or nerve root sleeve. Most causes are iatrogenic, and if not properly addressed or go unnoticed, patients may present with complications such as postural headache, wound breakdown, meningitis, and even death. Magnetic resonance imaging is the diagnostic study of choice, with treatment options ranging from observation, bed rest, and/or epidural blood patch to lumbar subarachnoid drainage, and surgical repair.

 

Author (s) Details

Jose A. Castillo Jr.
Department of Neurological Surgery, University of California, Davis, Sacramento, California, USA.

 

Hania Shahzad
Department of Neurological Surgery, University of California, Davis, Sacramento, California, USA.

 

Richard Price
Department of Neurological Surgery, University of California, Davis, Sacramento, California, USA.

 

Kee D. Kim
Department of Neurological Surgery, University of California, Davis, Sacramento, California, USA.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v11/2782