MANAGEMENT OF DURAL TEARS IN ENDOSCOPIC LUMBAR SPINE SURGERY – A SYSTEMATIC REVIEW STUDY

Abstract

Lumbar degenerative disorders are the most common cause of low back pain with or without radicular pain(1) .Lumbar decompression and discectomy are two major and commonly performed surgeries for patients not responding to conservative management. Microscopic lumbar discectomy and decompression are gold standard to treat these diseases(2). Endoscopic lumbar spine surgeries are being done at more and more centers since last decade(3). Dural tears are common but troublesome complication of Endoscopic Spine surgeries. Management of the same is well dened in Microscopic lumbar discectomy but not clearly dened for tears during endoscopic surgeries. Therefore, this study is an attempt to establish management principles after extensive reviewing of studies on management principles of iatrogenic dural tears during endoscopic spine surgeries till date. PRISMA (Preferred Methodology: reporting items for systematic reviews and meta-analyses) guideline was used. A search of articles in PubMed, MEDLINE, Embase published between were included in the screening process. For identication of studies included detailed computerized literature search strategies were carried out in these databases. Total of 1569 studies on 'Dural tear Study selection: s ' were identied from electronic database from year 1947 to 2023 searching. Out of those 1569 studies, 180 studies were regarding Dural tears in endoscopic spine surgeries. After exclusion, 7 studies qualied the inclusion criteria and were included as per eligibility criteria for further analysis. Objective of this study is to do a systematic review on present guid Objective: elines for management of dural tears in endoscopic spine surgery