Dural Tear, a Feared Complication of Spine Surgery

Authors

  • Samir Khan Kabir Hayatabad Medical Complex, Peshawar
  • Ihsan Ullah Rehman Medical and Surgical Center Daggar Buner
  • Ubaid Ullah Khan Naseer Teaching Hospital, Peshawar
  • Muhammad Zahid Khan Hayatabad Medical Complex, Peshawar
  • Homaira Iqbal Khan Kabir Medical College, Peshawar

DOI:

https://doi.org/10.37762/jgmds.10-1.377

Keywords:

Dural Tear, Spinal Surgery, Defects, Neurology

Abstract

OBJECTIVES

To investigate the incidence, risk factors and clinical presentation of complications in patients undergoing spinal surgery with and without Dural Tear.

METHODOLOGY

A one-year prospective case-control study was conducted in the department of orthopaedics and spinal surgery at the Hayatabad Medical Complex (HMC) and Rahman Medical and surgical centre Dagger Buner. The spine surgeon used a discrete surgical approach. The questionnaire was used to collect patient demographic data, surgical information, and data on perioperative and postoperative complications. SPSS version 21.0 statistical software was used for all statistical analyses.

RESULTS

Dural tears were observed in 3.4% of the patients, among whom 20% experienced a Dural leak. After controlling for potentially confounding variables of age, sex, primary disease, and type of procedure, the surgery-related complications that were more likely to occur in the Dural Tear group than in the non-TD group were surgical site complications OR 2.69 and postoperative neurological defect O 3.28. The proportion of postoperative delirium OR 3.22 was significantly high in the Dural Tear group as perioperative complications

CONCLUSION

A higher proportion of surgical site infections, postoperative neurological defects and delirium in the Dural Tear group are due to direct complications, such as Dural leakage.

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Author Biographies

Samir Khan Kabir, Hayatabad Medical Complex, Peshawar

Assistant
Professor, Orthopedic & Spine Unit,
Hayatabad Medical Complex, Peshawar

Ihsan Ullah, Rehman Medical and Surgical Center Daggar Buner

Consultant Orthopedics Surgeron
Rehman Medical and Surgical Center Daggar Buner

Ubaid Ullah Khan, Naseer Teaching Hospital, Peshawar

Assistant Professor,
Orthopedic & Spine Unit,
Naseer Teaching Hospital, Peshawar

Muhammad Zahid Khan, Hayatabad Medical Complex, Peshawar

Assistant Professor, Orthopedic & Spine Unit,
Hayatabad Medical Complex, Peshawar

Homaira Iqbal Khan, Kabir Medical College, Peshawar

Associate Professor, Anatomy
Kabir Medical College,
Gandhara University, Peshawar

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Published

2023-01-01

How to Cite

Kabir, S. K., Ullah, I. ., Khan, U. U., Zahid Khan, M. ., & Khan, H. I. (2023). Dural Tear, a Feared Complication of Spine Surgery. Journal of Gandhara Medical and Dental Science, 10(1), 20–14. https://doi.org/10.37762/jgmds.10-1.377

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