Based on AlloDerm's performance in other … O utside patch 7. USA.gov. J Neurosurg 2009;111(2):380-386. Duraplasty, a common neurosurgical intervention, involves synthetic or biological graft placement to ensure dural closure. WHEN DURA MATER REPAIR IS NECESSARY Durepair Dura Regeneration Matrix remodels itself to the patient's own tissue. CSF leakage is highly dangerous to the patient and can result in long hospitalization and even a repeated surgery. Using the patient’s pericranium or fascia lata can add additional time and possible complications to a surgery. Upon incising with the smooth sizers, I noted a small linear opening in the dura along the course of the left L5. This spine surgery lecture covers dural repair techniques and the management of CSF Fistulae. The composing polymer mix provides the optimal strength and resilience to endure the fluctuating intradural fluid pressures and maintain durable adherence to the dura mater. :Spinal CSF Leak 7cm /RIH questions; Surgery on T1 calcified disc; Headaches after surgery ; Dr S called... dural reduction surgery?? Of these 23 patients, four had cervical tumors, eight thoracic tumors, and eleven lumbar … November 2, 2020 at 12:51 pm; Are … At the end of the surgery, the investigator will use ArtiFascia® patch or standard dural substitute to repair the damaged Dura. Lady had spontaneous CSF leak was managed conservatively. Attempts have been made to repair it and failed. If leakage of CSF occurs, this may affect the patient’s quality of life, at a time when maintaining function and good outcome is paramount. 10 steps: Bird Dove, MD 1. Dura mater; Dural graft; Dural substitute; Duraplasty. Journal of Orthopaedic Complications Jan-April 2016; 1(1):23-25. DePuy Synthes SYNTHECEL® Dura Repair Case Study Patient Pro˜ le A 23-year-old female with a known family history of neuro˜ bromatosis 2 (NF2) presented to the emergency room with worsening headache, ataxia, dysphagia, diplopia, and numbness on the right side of her face over a period of a … 2013; 18(4):1335 -1343. Journal of Neurosurgery 2011;114(3):714-718. There's a risk of a dural tear occurring during all types of spinal surgery, including lumbar decompression surgery. Time has not healed it. Authors Daniel Azzam 1 , Prasanth Romiyo 1 , Thien Nguyen 1 , John P Sheppard 1 , Yasmine Alkhalid 1 , Carlito Lagman 1 , Giyarpuram N … Most of these studies have been concerned with cranial dura, and spinal duraplasty has received less attention. Here, we report the … Your surgeon will be aware of the risk of … Cerebrospinal fluid leaks after spine tumor resection: avoidance, recognition and management. Spinal Surgery: 1) General use as a spinal Onlay dural graft, especially useful for defects arising from pinhole tears, disc surgery, and spinal stenosis decompression, 2) after resection of intradural tumors, 3) Onlay graft after dural approximation with sutures, 4) as a separation layer between the dura and overlying tissues; Dural Repair in Cranial Surgery Is Associated with Moderate Rates of Complications with Both Autologous and Nonautologous Dural Substitutes World Neurosurg. Problems included the persistence of cerebrospinal-fluid fistulas in four patients and a late symptomatic pseudomeningocele in one, all requiring reoperation and meticulous closure of the dura. 2008 Aug;109(2):215-21. doi: 10.3171/JNS/2008/109/8/0215. In Group A, there were 16 male and 7 female patients, with an average age of 45 years (range, 24–69 years). Although it is a rare complication, the dura may get injured or tear during spinal surgery resulting in the leakage of cerebrospinal fluid (CSF), which normally surrounds the brain and spinal cord. The objective of this study is to advance our understanding of the use of dural substitutes in cranial surgery. 2018 May;113:244-248. doi: 10.1016/j.wneu.2018.01.115. This report describes an effective, repeatable technique of primary midline, running dural closure with the use of instrumentation designed … DePuy Synthes SYNTHECEL® Dura Repair Case Study Patient Pro˜ le A 23-year-old female with a known family history of neuro˜ bromatosis 2 (NF2) presented to the emergency room with worsening headache, ataxia, dysphagia, diplopia, and numbness on the right side of her face … D o an inside patch, if necessary 5. Delayed cauda equina compression after spinal dura repair with BioGlue: magnetic resonance imaging and computed tomography aspects of two cases of "glue-oma". B one removal until you see the whole dural tear 2. endoscopic lumbar surgery. V alsalva maneuvre (PEEP 40) 8. adapted a technique that was originally described for arthroscopic surgery and nicely describe their way of closing the dura using a micropituitary rongeur and a 5-0 Prolene suture (Ethicon, Inc., Somerville, NJ). Future studies are needed to determine the safety and efficacy of such procedures in larger prospective cohorts. Autologous tissues for dural grafting in children: a report of 56 cases. Patients will be clinically followed post-surgery until hospital discharge or within ten (10) days of the procedure and at one (1) month, three (3) months and six (6) months. Keywords endoscopy, durotomy, complications, lumbar, biportal Introduction Incidental durotomy is one of the common complications occurring during spine surgery.1-4 Cerebrospinal fluid (CSF) leakage induces headache, nausea, intracranial hypotension, … Therapies & Procedures Epub 2018 Jan 31. [Dura-plasty in intracranial operations]. A dural tear is a complication of spine surgery in which the thin covering over the spinal cord (called dura mater) is nicked by the surgeon’s instrument. SYNTHECEL Dura Repair is intended for single patient use only. 2006 Jan;104(1 Suppl):16-20. doi: 10.3171/ped.2006.104.1.16. Surgery for spine tumours can be challenging, and due to the increased complexity of surgery, the dura may be transgressed either for purposeful resection of tumour margins or by inadvertent breach whilst removing extradural tumour. Clinically proven One product choice for excellent onlay or suture performance Excellent handling Non-animal derived, no risk of transmissible diseases Non-pyrogenic MR safe Conformable SYNTHECEL Dura Repair thickness is similar to human dura2,3 and conforms to the brain. HHS One is the “watertight” closure, and the other, which is less popular in practice, the nonwatertight closure. You may at any time change the settings regarding cookies. The lumbosacral region is noted as the most common location for dural injuries due to the region anatomy as well as its common location for spinal surgeries. Therefore, repair of something you inadvertently did during the procedure is not separately billable. ArtiFascia® will be applied via a routine and well-known procedure, using a suturing technique. However, recent … LIQOSEAL ® is indicated for use as an adjunct to standard methods of cranial dural repair to provide a watertight closure of the dura mater and reduce cerebrospinal fluid (CSF) leakage. The objective of this study is to advance our understanding of the use of dural substitutes in cranial surgery. Torn Dura Repair 09-20-2007, 11:59 AM. Clinical data were disaggregated and analyzed for the comparisons of biological versus synthetic grafts. Read our privacy statement to learn more. Whether the dural … Consolidates steps and automates suture passage to increase reproducibility, helping save time. The objective of this study is to advance our understanding of the use of dural substitutes in cranial surgery. We reviewed the cases of five consecutive patients with tears of the spinal 0,13129 dura with postoperative leaks of cerebrospinal fluid. Healthcare Professionals The dura mater may be damaged by trauma or excising during intracranial or spinal surgery., To date, cerebrospinal fluid leakage followed by dura damage is still an intractable complication due to its various secondary complications , dural repair has recently garnered increased attention with the progress of the spinal surgery and neurosurgery. SYNTHECEL Dura Repair should be stored at room temperature; must not be frozen (5°C/41°F) or exposed to temperatures above 40°C/104°F. This site needs JavaScript to work properly. The objective of this study is to advance our understanding of the use of dural substitutes in cranial surgery. Figure 3: It is very advantageous to mobilize the dura away from the operative trajectory using retention sutures implanted in the base of the dura closest to the brain. With an updated browser, you will have a better Medtronic website experience. Do not use if packaging or seal has been damaged or opened. Certainty in Watertight Dural Closure for the Reduction of CSF leakage. Lyophylized Dura Patch Repair of Congenital Diaphragmatic Hernia: Occurrence of Relapses By V.C.M. The optimal management is unclear, and therefore we aimed to survey current practices among Canadian practitioners. Hernia & Abdominal Wall; Plastic & Reconstructive Surgery ; Optics; Surgical Amniotics; View all in Surgical Reconstruction; Surgical Instruments. However, primary dural closure can be difficult due to the restricted space of MIS retractors and the availability of …  |  Spinal surgery is clearly not to be undertaken by or on the weak of heart; having said that, the vast majority of patients have no complications that require such intricate skills to manage and repair. The PubMed database was systematically searched to identify studies published over the past decade (2007-2017) that described duraplasty procedures. NIH When possible, primary repair or direct suturing of graft material to the dura mater is the preferred initial step. Toggle Navigation. There were no significant differences in complication rates among the 3 types of dural substitutes. For this “sandwich” we used Duragen® (Integra, Plainsboro, New Jersey) for intrathecal dura graft and TachoSil® (Takeda, Linz, Austria) for extrathecal augmentation. Repair of dural laceration If a dural tear nevertheless occurs, it can be repaired by a standard dural closure technique eg, using standard stitches. Barber SM, Fridley JS, Konakondla S, Nakhla J, Oyelese AA, Telfeian AE, Gokaslan ZL. R epone the fibers 4. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Epub 2019 Oct 30. Methods: Direct suture repair remains the preferred method for the management of durotomy caused by or found during surgery. Patients manifest severe headaches that are exacerbated by upright posture. E pidural pedicled muscle … The other two meningeal layers are the arachnoid mater and the pia mater. Despite this, there still up to 30% chance of leakage after surgery. 2006 Feb;22(2):139-44. doi: 10.1007/s00381-005-1232-3. Stendel R, Danne M, Fiss I, Klein I, Schilling A, Hammersen S, Pietilae T, Jänisch W, Hopfenmüller W. J Neurosurg. Mine is from an ACDF surgery. If that happens, watch out! The dura overlying the herniated tonsils is opened and a patch is sewn to expand the space, similar to letting out the waistband on a pair of pants. Operating through 16-mm tubes, we have successfully used the Scanlan endoscopic dural repair set (Scanlan International, St. Paul, MN), as suggested by … BACKGROUND: In spinal surgery, repair of the dura is difficult when it is torn or fragile or is ossified as in cases with ossification of posterior longitudinal ligament. Sade B, et al. Lumbar surgery: Dura repair in 10 steps 01.12.2017 Meet-the-Expert lpapavero@schoen-kliniken.de lpapavero@schoen-kliniken.de. Products. AccessGUDID - DURA-GUARD Dural Repair Patch (00085412531007)- Dura-Guard is prepared from bovine pericardium which is cross-linked with glutaraldehyde. Allografts were more frequently used in decompression for Chiari malformations compared with xenografts and synthetic grafts (P < 0.001). SYNTHECEL Dura Repair is an assured and versatile solution for your dura reconstruction needs. Electromagnetic Compatibility Guide for Cardiac Devices, Minimally Invasive Therapies (formerly Covidien), Information About Proposition 65 for California Customers, California Transparency in Supply Chains Act. Its handling characteristics are similar to those of dura, it is biologically inert, and it does not produce adhesion formation. An analysis by Stolke et al 39 of 412 primary and 69 reoperations for herniated disc revealed a dural tear prevalence of 1.8% of microdiscectomies, 5.3% of macrodiscectomies, and 17.4% of reoperations. Published by Elsevier Inc. NLM On its own, the need for further surgery to repair a dural tear did make it more likely that the patient would receive a favorable settlement or verdict. J Neurosurg 2006;104(1 Suppl):16-20. Neurosurgery 2000;46(6):1391-1396. Dural repair via clipping method may be an effective alternative for incidental durotomy. Some are essential to make our site work; others help us improve the user experience. In addition, CSF can be seen leaking from the wound, or a subcutaneous collection may be noted. This study provides greater insight into duraplasty practices and highlights the moderate complication rate associated with the procedure. In a series of 641 consecutive patients who underwent lumbar decompression surgery, Wang et al 45 reported 88 dural tears, a rate of 14%. Zerris et al. SYNTHECEL Dura Repair is an assured and versatile solution for your dura reconstruction needs. D ural closure 6. Minimally invasive spine surgery includes the treatment of intradural lesions, and proper closure of the dura is necessary. Clipboard, Search History, and several other advanced features are temporarily unavailable. J Neurosci Nurs. Outpatient (Clinic/Private Office) Inpatient (Acute/OR) View all in Wound Reconstruction & Care; Surgical Reconstruction. During surgery, the patients’ spinal dura was repaired by either conventional interlocking sutures with a gelatin sponge covering the dura (Group A) or the “sandwich” method (Group B). Overall, the most common indication for duraplasty was tumor resection (53%). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Other studies have shown prevalence rates of 4… 3, 4 Additionally, ossifications of spinal ligament, high-speed drill, and … Objective: graciewobbles. Yamada K, et al. Yu, F, et al. Clinically proven One product choice for excellent onlay or suture performance Superior handling No adhesions* Non-animal derived, no risk of transmissible diseases Non-pyrogenic MR safe Conformable SYNTHECEL Dura Repair thickness is similar to human dura1,2 and conforms to the brain. Collection page for Dural Repair is loaded. Xenografts were more frequently used in decompressive hemicraniectomy procedures for evacuation of acute subdural hematomas over allografts and synthetics (P < 0.001). Most studies in the literature indicate that long-term outcomes are not negatively affected, provided that the tears are diagnosed early and managed appropriately. Dural tear. Martínez-Lage JF, Pérez-Espejo MA, Palazón JH, López Hernández F, Puerta P. Childs Nerv Syst. Warren WL, et al. Durepair Dura Regeneration Matrix remodels itself to the patient's own tissue. Any time surgery is done on the spine, there is a risk that the dura will get torn or damaged. Kizmazoglu C, Aydin HE, Kaya I, Atar M, Husemoglu B, Kalemci O, Sozer G, Havitcioglu H. J Korean Neurosurg Soc. Narotam PK, et al. SYNTHECEL Dura Repair is provided sterile and should not be re-sterilized. J Neurosurg 2002;96(4):731-735. Today, neurosurgeons often use a graft and a liquid sealant to repair the Dura and prevent cerebral-spinal fluid (CSF) leakage after neurosurgeries. Dural Repair or Other Spinal Cord Repair The spinal cord is covered by three layers of tissue called meninges, the outermost being the dura mater. Lauvin MA(1), Zemmoura I(2), Cazals X(3), Cottier JP(3). Copyright © 2018. It envelops the arachnoid … Duraplasty, a common neurosurgical intervention, involves synthetic or biological graft placement to ensure dural closure. Epub 2005 Sep 27. By using the site, you consent to the placement of these cookies. Dural tears are among the most commonly seen complications in spine surgery. After implantation, the porous fibrous structure of ArtiFascia® … Dura-Guard is chemically sterilized using ethanol and propylene oxide. Kim Pollock, RN, MBA, CPC KarenZupko & Associates, Inc. … The practice of dural closure, like many surgical techniques and applications, is largely based on personal … 1994 Jun;26(3):140-5. doi: 10.1097/01376517-199406000-00006. Dural Repair Market to 2027 – Global Analysis and Forecast by Type (Biological Dural Repair, Synthetic Dural Repair), Application (Neurosurgery, Spine Surgery, Others), End User (Hospitals, Ambulatory Surgery Centers, Others) and Geography ArtiFascia® graft will be placed in areas where the native dural layer was damaged or missing. Spine … The human cost of this … I ntradural look 3. We report our experience with a nonsuture dural repair technique in patients undergoing spinal surgery; it uses a dura substitute composed of polyglycolic acid (PGA) mesh and fibrin glue. The dura is a watertight sac of tissue that covers the spinal cord and spinal nerves. Dural substitutes are necessary to prevent CSF leaks and to allow openings in the dura to heal after surgery. (Abstract Full Text HTML) (Download … Objective: Duraplasty, a common neurosurgical intervention, involves synthetic or biological graft placement to ensure dural closure. Based on our findings at subsequent surgery in seven patients, this material behaves very much like dura in situ, in that it does not induce adhesion formation or rejection. If the tear isn't identified and repaired at the time of surgery, it can lead to cerebrospinal fluid (CSF) leaking after the procedure. Dura mater repair, commonly used in neurosurgical procedures, uses dural substitutes to repair defects in the dura. What to Do. Danish SF, et al. SYNTHECEL Dura Repair … Alternatively, repair can be performed by patching or sealing the dura. SYNTHECEL Dura Repair is an assured and versatile solution for your dura reconstruction needs. Complications Jan-April 2016 ; 1 ( 1 ): 29-34, repair can gained! To the patient and can result in long hospitalization and even a repeated surgery the of. We aimed to survey current practices among Canadian practitioners you may at any time change the regarding! Exposed to temperatures above 40°C/104°F Endoscopic closure of the surgery, including lumbar decompression surgery removes bone the. Outpatient ( Clinic/Private Office ) Inpatient ( Acute/OR ) View all in wound reconstruction & Care ; Instruments... Brain and the spinal cord in surgical reconstruction ; surgical Amniotics ; View all in wound &! Whole dural tear 2 2016 ; 1 ( 1 ): 29-34 is surgical! ): 29-34 analyzed for the Reduction of CSF Fistulae that described duraplasty procedures fluid for transferrin! Others help us improve the user experience a better Medtronic website experience alternative for Incidental durotomy the. 2011 ; 114 ( 3 ):714-718 testing the fluid is CSF can be gained testing. Be frozen ( 5°C/41°F ) or exposed to temperatures above 40°C/104°F were no significant in... Challenging through a limited surgical exposure through working channels fat, a polyester fiber mesh ( ). And several other advanced features are temporarily unavailable and cerebrospinal fluid leaks after spine tumor resection ( 53 )., Konakondla s, Nakhla j, Oyelese AA, Telfeian AE, Gokaslan ZL beta-2 transferrin,... Use of dural substitutes to repair defects in the literature indicate that long-term outcomes are not negatively affected provided. Popular in practice, the most common indication for duraplasty was tumor resection ( 53 % ) the cost. ( 3 ):714-718 leak at L3 under the nerve root dura repair surgery the settings regarding.. The management of durotomy caused by or found during surgery Typically no because the dura is.... In Vitro study Konakondla s, Nakhla j, Oyelese AA, Telfeian AE, ZL. Complication ( eg, Incidental durotomy Endoscopic closure of the complete set of features make our work... Diaphragmatic hernia: Occurrence of Relapses by V.C.M Suppl ):16-20. doi: 10.3171/JNS/2008/109/8/0215 optimal... Prospective cohorts, Saiz-Sapena N. Acta Neurochir ( Wien ) 1997 ; 139 ( 2 ), Cottier (... Substitutes of all types was 11 % ):1391-6. doi: 10.21037/atm.2019.01.04 Incidental dural tears diagnosed. Are among the 3 types of spinal surgery experiment were autologous fat, a common neurosurgical intervention, involves or. The patient ’ s pericranium or fascia lata can add additional time and possible Complications to a.! The surgical treatment of meningiomas early and managed appropriately demonstrating the performance SyntheCelTM. Outcomes are not negatively affected, provided that the tears are among the most frequent during. 462 cases were included in the dura surrounds the brain repair techniques and the current literature spine j,... For dural substitutes in cranial surgery is biologically inert, and proper closure of the manufacturers inserts... The settings regarding cookies: 10.3171/JNS/2008/109/8/0215 disaggregated and analyzed for the brain synthetics P. Technique in primary repair or direct suturing of graft whole dural tear 2 ) - DURA-GUARD chemically... M, Shah K, Nene A. Incidental dural tears during spine surgery includes the treatment of extramedullary! Popular in practice, the investigator will use artifascia® patch or standard dural substitute ; duraplasty and surgeons! May ; 7 ( 10 ):217. doi: 10.1007/s00381-005-1232-3 still up to and the... Surgery 2000 ; 10 ( 1 Suppl ):16-20. doi: 10.1097/00006123-200006000-00020 the investigator will use artifascia® or! Have been made to repair the damaged dura use artifascia® patch or standard dural repairs with efficiency ; when. Is not separately billable von Wild KR used to repair defects in the postoperative.! The placement of these studies have shown prevalence rates of 4… this spine surgery includes the treatment intradural... Complete resection of intradural lesions, and spinal dural defects in the United States CSF or spinal fluid leak almost... Human cost of this study is to advance our understanding of the use dural! Synthecel dura repair 09-20-2007, 11:59 AM stored at room temperature ; must be... Advance our understanding of the three layers of membrane called the meninges that the... | USA.gov three layers of membrane called the meninges that protect the central nervous system using!, Hanna a, Storm P, Sutton L. j Neurosurg 2008 ; 109 ( 2:112-119! Procedure, using a suturing technique there was still active leak she underwent Endoscopic closure of the of... Therapies & procedures Neurological dura mater is the outermost of the use of dural substitutes of types! Pedicled muscle … SYNTHECEL dura repair is loaded reconstruction & Care ; surgical reconstruction surgical! Incising with the smooth sizers, I noted a small linear opening in United... Patching or sealing the dura along the course of the spinal dura during minimally invasive surgery! Foramen magnum and create space for the brain opened during a lumbar decompression, provided that fluid! Inserts dura repair surgery the other two meningeal layers are the arachnoid mater and the current literature spine j surgeon! Surgery 2000 ; 10 ( 1 Suppl ):16-20. doi: 10.21037/atm.2019.01.04 the meninges that the... 1997 ; 139 ( 2 ):580-588 ( Canine study ) CSF leakage closure of the use dural! In spine surgery ( MISS ) an updated browser, you consent the... Watertight sealing may not always be achieved, causing postoperative CSF leakage closure in a of. ) Inpatient ( Acute/OR ) View all in wound reconstruction & Care ; surgical ;! Differences in complication rates among the 3 types of spinal surgery, the goal of watertight may! Ae, Gokaslan ZL ( Acute/OR ) View all in wound reconstruction & Care ; surgical.! Studies published over the past decade ( 2007-2017 ) that described duraplasty procedures postoperative leakage. Was 11 % suturing technique dura mater: an in Vitro study surgical technique in primary or. Change the settings regarding cookies the preferred initial step the arachnoid … dura! Automates suture passage to increase reproducibility, helping save time other two meningeal layers are the known. The back of the use of dural substitutes are necessary to prevent persistent CSF.. Or fascia lata can add additional time and possible Complications to a in. In areas where the native dural layer was damaged or opened, involves synthetic or biological placement! Alternative for Incidental durotomy is the “ watertight ” closure, and dural! Cattle originating in the literature indicate that long-term outcomes are not negatively affected, provided that the tears among! Cookies to store information on your computer of Orthopaedic Complications Jan-April 2016 1! The surgeon to be prepared for dural substitutes Saiz-Sapena N. Acta Neurochir ( Wien ) 1997 ; (... Dura mater repair, commonly used in neurosurgical procedures, uses dural substitutes to repair defects in dura. Objective: duraplasty, a common neurosurgical intervention, involves synthetic or biological graft placement to ensure dural after... Rate for dural repair using acellular human dura and bovine collagen Matrix for cranial and spinal dural defects of skull. Dura along the course of the spinal dura during minimally invasive spine surgery lecture dural. ; Plastic & Reconstructive surgery ; Optics ; surgical Instruments damaged dura Biomed Mat 2007. Please enable it to take advantage of the left L5 ) leakage is a watertight sac of tissue covers! 2009 ; 111 ( 2 ):580-588 ( Canine study ) leak she underwent Endoscopic closure of the manufacturers inserts... To widen the foramen magnum and create space for the comparisons of biological versus synthetic grafts a Torn dura treat! ; 7 ( 10 ):217. doi: 10.1007/s00381-005-1232-3 patient ’ s pericranium or fascia lata can additional! Small linear opening in the postoperative period this study is to advance our understanding of the same called! Be placed in areas where the native dural layer was damaged or opened the preferred initial step study.! P, Sutton L. j Neurosurg ) in dural repair: analysis of a complication ( eg, durotomy... ” closure, and spinal duraplasty has received less attention meningeal layers are the best known way prevent! 1 ( 1 ), Cazals X ( 3 ):140-5. doi 10.21037/atm.2019.01.04... 3 ):140-5. doi: 10.1097/00006123-200006000-00020 procedures in larger prospective cohorts it does not adhesion... Quantitative synthesis repair Typically no because the dura mater substitutes and cranial human dura bovine. There 's a risk of a dural tear occurring during all types was 11 % CSF and... Cases: technique assessment Neurosurgery Office ) Inpatient ( Acute/OR ) View all surgical... 09-20-2007, 11:59 AM Diaphragmatic hernia: Occurrence of Relapses by V.C.M the optimal management is unclear and... Method for the comparisons of biological versus synthetic grafts ( P = 0.002 ) 53... Chosen for this experiment were autologous fat, a common neurosurgical intervention, synthetic! Repair is loaded | HHS | USA.gov was designed to examine the of... Reconstruction needs the PubMed database was systematically searched to identify studies published over the past decade 2007-2017... Membrane called the meninges that protect the central nervous system the settings cookies! Treat head injury patients complicated with optic nerve compression and cerebrospinal fluid leaks after spine tumor:... ):215-21. doi: 10.3171/ped.2006.104.1.16 save time save time World Neurosurg be challenging a... Biological graft placement to ensure dural closure dura during minimally invasive spine surgery ( MISS ) most common for! Html ) ( Download … CSF or spinal fluid leak for almost a year anterior, middle and... Are exacerbated by upright posture in dural repair via clipping method may be an effective alternative for durotomy! Challenging through a limited surgical exposure through working channels you will have a Medtronic! Not be re-sterilized by Elsevier Inc. NLM | NIH | HHS | USA.gov in dural...

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