Incarceration of Spinal Nerve Root through Incidental Durotomy as a Cause of Sciatica.
10.14245/kjs.2017.14.3.103
- Author:
Young Jin KIM
1
Author Information
1. Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea. spine1225@naver.com
- Publication Type:Case Report
- Keywords:
Incidental durotomy;
Sciatica;
Cerebrospinal fluid leakage
- MeSH:
Cerebrospinal Fluid;
Cerebrospinal Fluid Leak;
Diagnosis, Differential;
Diskectomy;
Humans;
Pain, Postoperative;
Sciatica*;
Spinal Nerve Roots*;
Spinal Nerves*;
Tears
- From:Korean Journal of Spine
2017;14(3):103-105
- CountryRepublic of Korea
- Language:English
-
Abstract:
Incidental durotomies are a frequent complication during spinal surgery. Cerebrospinal fluid (CSF) leakage from a dural tear may be visually apparent intraoperatively, but occasionally, a tear may not be recognized during the procedure. We report our experience in 2 cases of postoperative incarceration of nerve root as a cause of sciatica, without CSF leakage intraoperatively. When durotomy attributable to surgical manipulation does occur, intraoperative identification is mandated. If a patient develops unexplainable postoperative pain and neurological deficits after lumbar discectomy, incarceration of nerve root should be considered in the differential diagnosis.
