An accidental dural tear is a potential complication of spine surgery.
The dura is a thin layer of tissue that covers and protects thespinal cord.
It lies in between the spine (the bone) and the spinal cord (nerve tissue).
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Durotomy, which is an incision in the dura, can be a planned part of the surgical technique.
Preventing Dural Tears
Pre-existing conditions and/or deformities can increase your risk of a dural tear.
Its delicate and easily torn.
Incidence
Dural tears are not uncommon.
The incidence rates reported in research studies vary widely.
But the leak might remain deep near your spine.
It often doesn’t reach the wound, so it’s usually not visible.
You may experience position-related headaches that get worse when you stand up and are relieved when you lie down.
Other symptoms include visual changes, nausea, vomiting, or dizziness, Auerbach says.
If it’s not treated quickly and properly, a CSF leak can be dangerous.
Treatments for dural tears include bed rest, ablood patch, and if the leaking continues, surgical repair.
Fang, Z.,Treatment of Cerebrospinal Fluid Lead After Spine Surgery.
2018;8(4 Suppl):5S-30S.
2018 Nov;119:494-499. doi:10.1016/j.wneu.2018.05.251
