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- W2891521272 abstract "Incidental durotomy is a relatively common complication of spine surgery. Prevalence ranges from 3 to 5% in primary and 7 to 17% in revision procedures. Despite this relatively common occurrence the subsequent development of pseudomeningoceles following lumbar spine surgery is reported to be between 0.07 and 2%. Giant pseudomeningoceles (GP) are rare and therefore we report our experience with a case.We report a case of an iatrogenic GP post revision lumbar surgery that extended 19 cm in length. The patient underwent revision L3-S1 laminectomy, laminotomy, excision of pseudomeningocele and successful direct dura repair. Postoperatively, a subcutaneous seroma persisted. This was managed with surgical exploration and prolonged drainage. This led to reduction of the seroma and symptomatic improvement for the patient.Incidental durotomy is a relatively common complication of spine surgery and if the durotomy is not addressed at the time of an operation a pseudomeningocele may develop. A pragmatic approach for GP is to individualise management based upon symptoms. Although GP are rare, prevention is likely the best approach. We outlined a structured approach to the management of an incidental dural leak that formed the largest reported pseudomeningocele reported to date." @default.
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- W2891521272 date "2018-09-10" @default.
- W2891521272 modified "2023-10-17" @default.
- W2891521272 title "Giant lumbar pseudomeningocele after revision lumbar laminectomy: a case report and review of the literature" @default.
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- W2891521272 doi "https://doi.org/10.1038/s41394-018-0118-z" @default.
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