Intraoperative dural tears secondary to lumbar decompression in adults with achondroplasia

Joshua G. Schkrohowsky, Emily Carlisle, Kaisorn L. Chaichana, Daniele Rigamonti, Michael Ain

Research output: Contribution to journalArticle

Abstract

Most patients with achondroplasia experience neurologic symptoms within their lifetime. Lumbar stenosis is the major cause of such symptoms, and lumbar decompression has long been the treatment of choice. The most frequent complications of lumbar decompression in the general population are dural tears, but the incidence among patients with achondroplasia remains largely unknown. To determine the incidence and associated complications of intraoperative dural tears during decompression in patients with achondroplasia, we evaluated the outcomes of all patients with achondroplasia who underwent primary lumbar decompressions (80 patients) and subsequent revisions (22 patients, 23 procedures) at our hospital between 1970 and 2005. Of the 80 patients who underwent primary decompression, 31 (38.8%) experienced at least 1 dural tear, and of 23 revision procedures, 8 (34.8%) resulted in at least 1 dural tear. In addition, patients with dural tears were more likely to have surgical-site infections than those who did not have dural tears. Finally, we found that the incidence of dural tears in patients with achondroplasia has decreased over time at our hospital. Our results should alert surgical teams to the potential for complications when preparing for the surgical care of patients with achondroplasia.

Original languageEnglish (US)
Pages (from-to)92-95
Number of pages4
JournalNeurosurgery Quarterly
Volume16
Issue number2
DOIs
StatePublished - Jun 2006

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Achondroplasia
Decompression
Tears
Incidence
Surgical Wound Infection
Intraoperative Complications
Neurologic Manifestations
Patient Care
Pathologic Constriction

Keywords

  • Achondroplasia
  • Decompression
  • Dural tear

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Intraoperative dural tears secondary to lumbar decompression in adults with achondroplasia. / Schkrohowsky, Joshua G.; Carlisle, Emily; Chaichana, Kaisorn L.; Rigamonti, Daniele; Ain, Michael.

In: Neurosurgery Quarterly, Vol. 16, No. 2, 06.2006, p. 92-95.

Research output: Contribution to journalArticle

Schkrohowsky, Joshua G. ; Carlisle, Emily ; Chaichana, Kaisorn L. ; Rigamonti, Daniele ; Ain, Michael. / Intraoperative dural tears secondary to lumbar decompression in adults with achondroplasia. In: Neurosurgery Quarterly. 2006 ; Vol. 16, No. 2. pp. 92-95.
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