Dr Iqra Yasin, Dr Arooj Kiran, Dr. Saleha Abdullah
Aim: The aim of this study was to investigate the incidence, consequences and treatment of sustained dural tears during lumbar spine surgery in spinal degenerative diseases. Study design: This is an observational descriptive study. Material and method: The study was conducted in the Neurosurgery Unit II of Lahore General Hospital Lahore for one-year duration from February 2019 to January 2020. During this period, a total of 305 operated patients were included in the study. These patients underwent imaging and preoperative preparation. Results: A total of 305 patients were included in the study. The male female ratio was 1:1.67% out of 305 patients’ primary surgery was performed in 238 patients while revisional surgery was perform in 67 cases. Dural tears were present in 29 cases, dural tears were diagnosed preoperatively in 27 patients, 21 were repaired and 6 patients were treated conservatively. Conservative treatment was unsuccessful in these 6 patients and re-exploration and repair was performed, 2 cases after Dural tears were diagnosed due to cerebrospinal fluid leakage in 1 case, and the second case in the study was pseudo meningocele. Conclusion: Dura tears are more common in revision surgery and all dura tears must be repaired. Key words: dural tear, degenerative spinal surgery, dural tear repair.