BACKGROUND Incidental durotomy is a well-known complication during surgery for degenerative lumbar spinal stenosis (DLSS). In this prospective multicenter cohort study including eight medical centers our aim was to assess whether incidental durotomy during first-time lumbar spinal stenosis decompression surgery without fusion has an impact on long-term outcome. METHODS Patients of the multi-c...

STUDY DESIGN A retrospective, long-term follow-up study. OBJECTIVES To find out whether incidental durotomy in lumbar disc surgery is associated with long-term sequelae. SUMMARY OF BACKGROUND DATA Incidental durotomy is a frequent complication during spinal surgery. Little is known about the clinical long-term outcome. METHODS The study population comprised 1,280 patients who underwent st...

STUDY DESIGN Case-control. OBJECTIVE The aim of this study was to determine the economic impact of an incidental durotomy in spine surgery. SUMMARY OF BACKGROUND DATA An incidental durotomy during spine surgery does not affect long-term outcomes, but as reimbursement moves toward bundled payments, it may substantially affect the profitability of spine surgery. METHODS A retrospective revi...

OBJECT Incidental durotomy is an infrequent but well-recognized complication during lumbar disc surgery. The effect of a durotomy on long-term outcomes is, however, controversial. The authors sought to examine whether the occurrence of durotomy during surgery impacts long-term clinical outcome. METHODS Spine Patient Outcomes Research Trial (SPORT) participants who had a confirmed diagnosis of...

BACKGROUND Incidental durotomy is a familiar encounter during surgery for lumbar spinal stenosis. The impact of durotomy on long-term outcomes remains a matter of debate. OBJECTIVE To determine the impact of durotomy on the long-term outcomes of patients in the Spine Patient Outcomes Research Trial (SPORT). METHODS The SPORT cohort participants with a confirmed diagnosis of spinal stenosis,...

background and importance: pseudomeningocele is a rare complication of spine surgery, and it is the collection of cerebrospinal fluid in paraspinal tissues. giant pseudomeningoceles are still rare, and very few cases have been reported in literature. it is usually occult in presentation, and patients do not have any symptoms ascribable to it. case presentation: we came across two symptomatic pa...

STUDY DESIGN Retrospective review of a series of patients who underwent spinal surgery at a single spine unit during a 1 year period. OBJECTIVES To assess the incidence, treatment, clinical consequence, complications of incidental durotomy during spine surgery and results of 37 months clinical follow-up. SUMMARY OF BACKGROUND DATA Incidental durotomy is an underestimated and relatively adve...

STUDY DESIGN Retrospective review of a large series of patients who underwent spinal surgery at a single institution during a 10-year period. OBJECTIVES To further clarify the frequency of incidental durotomy during spine surgery, its treatment, associated complications, and results of long-term clinical follow-up. SUMMARY OF BACKGROUND DATA Incidental durotomy is a relatively common occurr...

STUDY DESIGN Retrospective review. OBJECTIVES Large compressive pseudomeningocele causing a major neurologic deficit is a very rare complication that is not well described in the existing literature. METHODS Institutional review board consent was obtained to study 2552 consecutive extradural spinal surgical cases performed by a single senior spinal surgeon during a 10-year period. The surge...

Purpose. Incidental durotomy is a relatively common complication for patients undergoing posterior spinal surgery. Delineating anatomical variants in the posterior lumbar spinal canal is crucial in reducing future rates of incidental durotomy. Materials and Methods. The ligamentous attachments between the dura mater and ligamentum flavum in the lumbar region of 17 soft-fixed cadavers were inves...