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Incidental Durotomy During Endoscopic Stenosis Lumbar Decompression: Incidence, Classification, and Proposed Management Strategies

Author
Kim H.S.,Raorane H.D.,Wu P.H.,Heo D.H.,Sharma S.B.,Jang I.T.
Journal Title
World Neurosurgery
Publication Year
2020
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Summary

This study analyzed the incidence, classification, and management strategies of incidental durotomies (IDs) occurring during endoscopic lumbar decompression. Among 330 patients, 27 experienced a dural tear, which were classified based on size, location, and involvement of neural elements. Patch repair of the dura showed good prognosis, while conversion to open surgery was considered for severe tears.

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