Abstract
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. 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. Surgical planning should aim to minimise the risk of CSF leakage, but if dural breach does occur, the defect should be repaired by using sutures, dural patch techniques and application of tissue adhesives. We outline and illustrate the methods of dural closure that can be used to prevent leakage of CSF during surgery for spine tumours.
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