Advances in the Management of Spinal Durotomy

Main Article Content

Tejas Karnati Edwin Samuel Kulubya Kee D. Kim

Abstract

Spinal durotomy, whether incidental or intentional, requires a watertight closure to prevent potentially significant complications. As a result of relatively recent technological advancements and research, spine surgeons now have many options for both intra-operative dural repair as well as managing post-operative cerebrospinal fluid (CSF) leak. This review presents a comprehensive overview of the current and historical treatment strategies in the management of spinal durotomy. Intra-operative treatment of intentional and incidental durotomies through a variety of available dural sutures, dural sealants and other patches and grafts as well as post-operative CSF leak management strategies including conservative measures, epidural blood patches, CSF diversion therapies and definitive surgical repair will be presented.

Article Details

How to Cite
KARNATI, Tejas; KULUBYA, Edwin Samuel; KIM, Kee D.. Advances in the Management of Spinal Durotomy. Medical Research Archives, [S.l.], v. 8, n. 9, sep. 2020. ISSN 2375-1924. Available at: <https://journals.ke-i.org/mra/article/view/2190>. Date accessed: 27 oct. 2020. doi: https://doi.org/10.18103/mra.v8i9.2190.
Section
Research Articles

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