: To conduct a systematic review of the literature in order to establish if there is an overall adverse effect of accidental durotomy on the long-term patients' reported outcome after elective spine surgery. A systematic literature search was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about pre- and postoperative clinical outcomes of patients with accidental durotomy and patients without were extracted and analysed. After screening, eleven studies were included with a total of 80,541 patients. About 4112 of these patients (5.10%) had incidental dural tear. When comparing patients with dural tear to patients without, 9/11 authors found no patients' reported differences at last follow-up. One author found a slightly worse VAS back pain in dural tear patients, and another author found inferior SF-36 and ODI scores in dural tear patients (both below minimal clinically important difference). Accidental dural tear did not have a significant adverse effect on clinical outcome of elective spine surgery. More studies are needed to better demonstrate this result.

Faldini, C., Barile, F., D’Antonio, G., Rinaldi, A., Manzetti, M., Viroli, G., et al. (2023). Incidental dural tears do not affect the overall patients’ reported outcome of spine surgery at long-term follow-up: results of a systematic review. MUSCULOSKELETAL SURGERY, 1, 1-15 [10.1007/s12306-023-00777-y].

Incidental dural tears do not affect the overall patients’ reported outcome of spine surgery at long-term follow-up: results of a systematic review

Faldini, C.;Barile, F.;Rinaldi, A.;Manzetti, M.;Viroli, G.;Traversari, M.;Cerasoli, T.;Ruffilli, A.
2023

Abstract

: To conduct a systematic review of the literature in order to establish if there is an overall adverse effect of accidental durotomy on the long-term patients' reported outcome after elective spine surgery. A systematic literature search was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data about pre- and postoperative clinical outcomes of patients with accidental durotomy and patients without were extracted and analysed. After screening, eleven studies were included with a total of 80,541 patients. About 4112 of these patients (5.10%) had incidental dural tear. When comparing patients with dural tear to patients without, 9/11 authors found no patients' reported differences at last follow-up. One author found a slightly worse VAS back pain in dural tear patients, and another author found inferior SF-36 and ODI scores in dural tear patients (both below minimal clinically important difference). Accidental dural tear did not have a significant adverse effect on clinical outcome of elective spine surgery. More studies are needed to better demonstrate this result.
2023
Faldini, C., Barile, F., D’Antonio, G., Rinaldi, A., Manzetti, M., Viroli, G., et al. (2023). Incidental dural tears do not affect the overall patients’ reported outcome of spine surgery at long-term follow-up: results of a systematic review. MUSCULOSKELETAL SURGERY, 1, 1-15 [10.1007/s12306-023-00777-y].
Faldini, C.; Barile, F.; D’Antonio, G.; Rinaldi, A.; Manzetti, M.; Viroli, G.; Vita, F.; Traversari, M.; Cerasoli, T.; Ruffilli, A.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/958509
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