Mangement Of Incidental durotomy during the Lumbar Disc Operations

Authors

  • Mohammad Ali Tishreen University

Abstract

The study included 1173 patients who underwent lumbar disc excision.

The dura mater was ruptured in 5,8% of them.

The percentage of males was 50.7%, while the percentage of females was 49.3%.

The patients were divided into three groups according to the technique of closure of the dura mater

Group A : the group in which the dura was sutured directly, and it accounted for 18.8%

Group B : the group in which the dura was not sutured, but a serge cell or a fat or muscle piece was placed, and it accounted for 17.39%

Group C : which is the group that was sutured with a fat or muscle graft, and it constituted 49.4% .

 

We evaluated the patients according to the main indicators, which is the occurrence of cerebrospinal fluid hemorrhage during the first six weeks of surgery, which occurred in groups A, B and C at rates of 7.7%, 18.8% and 8.8%, respectively.They were also monitored by secondary indicators such as the average surgical time in minutes, for group A (120) minutes, for group B (90) minutes, and for group C (140) minutes.

As for the recovery time for groups A, B and C, it was (8.9, 15.4 and 11.6) U, respectively.We also monitored the secondary complications that occurred in groups A, B and C at rates of 7.7%, 4.5% and 5.9%, respectively.

And we concluded from the study that the three methods of managing dura rupture are successful with minor differences between them without significant sequelae.

Published

2022-11-13

How to Cite

1.
Ali M. Mangement Of Incidental durotomy during the Lumbar Disc Operations. Tuj-hlth [Internet]. 2022Nov.13 [cited 2023Feb.7];44(5):11-2. Available from: http://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/13579