Bertalanffy and Eggert reviewed their complications after 450 consecutive anterior cervical diskectomy and fusion operations … Signs and symptoms of a subdural hematoma include: Keywords: Dural tear, spine surgery. Symptoms of a subdural hematoma may appear immediately following trauma to the head, or they may develop over time – even weeks to months. Dural tears after lumbar spine surgery are well documented and are among the most common complications, occurring in ~14% of all lumbar spine cases. When a durotomy occurs, care should be taken to avoid injury to the underlying rootlets, which… A dural tear involves a tear to the dura mater, which is a watertight sac of tissue that covers and protects the spinal cord and spinal nerves. The incidence of durotomy has been noted to be increased in patients undergoing revision spine surgery secondary to adhesions and scarring of the dura. Causes and Symptoms of Spinal Dural Tears. The dura membrane can leak after surgery however if a small hole is present. The recovery period may last … Treatment depends on the drainage pattern of the dural arteriovenous fistula and your symptoms. The symptoms of a CSF leak include fluid drainage from the ears or nose and a … Chapter Preview Chapter Synopsis Dural tear is not uncommon in cervical spine surgery, and the incidence varies depending on the disorder addressed and the procedure performed. Dural Arteriovenous Fistula (DAVF) Treatments. A dural tear is a relatively minor complication of spine surgery that rarely causes a long term problem. Dural rents or tears should be indentified during surgery and should be proactively tackled to avoid post operative complications. Suturing the small rent in the dura generally repairs this problem. However, older adults and people with chronic health conditions may have a higher risk of complications, such as dural tears, nerve injuries, and infections. Because a subdural hematoma is a type of traumatic brain injury (TBI), they share many symptoms. Despite the frequency of dural tears in spinal surgery, meningitis is a rare complication reported to occur with a frequency of 0.18% of all spinal procedures. The authors discuss the various treatment options available for intraoperative dural tears depending on the stage of diagnosis and extent of the lesion. They did not have symptoms of spinal fluid leakage following surgery, and no intraoperative dural tear was noted, suggesting these cases may have been secondary to late postoperative durotomy. Because the potential complications associated with a persistent cerebrospinal fluid (CSF) leak can be devastating, surgeons must have both intraoperative and postoperative treatment options available to them. The nerve roots can be exposed with a larger dural tear. Management of Dural Tears Ehsan Saadat John M. Rhee General Principles of Dural Repair The key to managing dural tears is to prevent them: NEVER perform a move in spine surgery unless you are absolutely certain it is safe. 7 However, little has been reported regarding the incidence or management of dural tears following cervical surgery. What are the symptoms of subdural hematoma? It involves this type of fluid escaping through a tear in the dura mater. 44 In the setting of a persistent CSF fistula, the risk of meningitis, epidural abscess, arachnoiditis, delay of wound healing, or wound infection are all significantly increased. Tears to this tissue can cause cerebrospinal fluid leaks and increase your risk of other health issues.