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  • Title: Treatment of dural tears associated with spinal surgery.
    Author: Eismont FJ, Wiesel SW, Rothman RH.
    Journal: J Bone Joint Surg Am; 1981 Sep; 63(7):1132-6. PubMed ID: 7024283.
    Abstract:
    We reviewed the cases of five consecutive patients with tears of the spinal dura with postoperative leaks of cerebrospinal fluid. Problems in cluded 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. Dural tears should be repaired at the time of the original operation either directly or utilizing a fascial graft or a tissue-plug technique. When the leak is first noted in the postoperative period, reoperation for repair of the dura is recommended.
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