Incidence and Outcomes of Dural Tear in Open Versus Microscopic Single Level Lumbar Discectomy | ||
| The Medical Journal of Cairo University | ||
| Volume 91, Issue 12, December 2023, Pages 1317-1321 PDF (305.36 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2024.342721 | ||
| Author | ||
| MOHAMED A. EISSA, MD.; AHMED A.M. EZZAT, M.D. MOHAMED M. EL SHIMY, M.D. | ||
| The Department of Neurosurgery, Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Abstract Background: Incidental durotomy is a common complica-tion of lumbar spine surgery. It is more common in complicated pathologies and recurrent cases. Aim of Study: To compare the incidence and outcome of dural tears in open and microscopic single level lumbar dis-cectomy. Patients and Methods: A retrospective analysis of the data of 40 patients divided into 2 groups was done. Group A con-tained open discectomy cases and group B contained micro-scopic discectomy cases. Results: The incidence of dural tears was lower in the mi-croscopic group, however, the correlation was not statistically significant. Additionally, the microscopic group had a signif-icantly shorter hospital stay and faster return to work. Dural tears were also found to significantly prolong hospital stay in both groups. Conclusion: Microscopic minimally invasive lumbar dis-cectomy could provide a lower incidence of dural tear and a better outcome for patients undergoing single level lumbar discectomy. However, further studies are required to verify the statistical significance of the acquired data. | ||
| Keywords | ||
| Lumbar — Minimally invasive — Microscopic dis; cectomy — Dural tear | ||
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