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J Neurol Surg A Cent Eur Neurosurg 2013; 74(06): 373-377
DOI: 10.1055/s-0032-1320028
Original Article
Georg Thieme Verlag KG Stuttgart · New York

The Frequency of Accidental Dural Tears in Minimally Invasive Spinal Fusion Techniques

Wolfgang Senker
1   Department of Orthopedic Surgery, Landesklinikum Mostviertel Amstetten, Amstetten, Austria
,
Christian Meznik
1   Department of Orthopedic Surgery, Landesklinikum Mostviertel Amstetten, Amstetten, Austria
,
Alexander Avian
2   Statistics and Documentation, Institute for Medical Informatics, Medical University of Graz, Graz, Austria
,
Andrea Berghold
2   Statistics and Documentation, Institute for Medical Informatics, Medical University of Graz, Graz, Austria
› Author Affiliations
Further Information

Publication History

08 September 2010

27 March 2012

Publication Date:
18 December 2012 (online)

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Abstract

Background Accidental dural tears (ADTs) are one of the most frequent complications of spinal surgery. Minimally invasive spinal surgery (MISS) has been described as a promising approach in the literature. ADT has been extensively reported in connection with open spinal surgery, but less so in the context of MISS.

Patients and Methods We reviewed 72 patients who had undergone minimally invasive spinal fusions techniques.

Results Ten patients (13.9%) had an ADT. We recommended bed rest for 2.5 to 5 days, depending on the type of repair and the size of cerebrospinal fluid leakage. One patient suffered from a transient meningism, whereas the others remained free of symptoms associated with ADT.

Conclusion Despite the rather small series investigated in the study, the frequency of ADT in MISS appears to be comparable to that encountered when using open surgical techniques.

Keywords

minimally invasive spine surgery - dural tear - lumbar fusion
 

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