Dural tear in primary versus reoperative spinal decompression surgery: A Meta-Analysis

Khrisna Rangga Permana , Yeni Purnamasari, Tommy Alfandy Nazwar

Khrisna Rangga Permana
General Practitioner, Faculty of Medicine Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia. Email:

Yeni Purnamasari
General Practitioner, Faculty of Medicine Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia

Tommy Alfandy Nazwar
Neurosurgeon, Faculty of Medicine Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia
Online First: January 06, 2019 | Cite this Article
Permana, K., Purnamasari, Y., Nazwar, T. 2019. Dural tear in primary versus reoperative spinal decompression surgery: A Meta-Analysis. Indonesian Journal of Neurosurgery 1(2). DOI:10.15562/ijn.v1i2.24

Dural tear is one of the most frequent but anticipated potential complications of spinal decompression surgery. Spinal decompression surgery is one of the most common procedure in neurosurgery which undergoes vast development in the technology and technique in last decades. The objective of this meta-analysis was to evaluate the dural tear incidence following primary spinal decompression surgery compared to reoperative spinal decompression surgery worldwide. Authors were using meta-analysis. Studies were searched throughout JNS, Cochrane, PubMed, and Google Scholar from 2000-2017. Keywords were "dural tear" and "surgery" and "spine" and "primary" or "reoperative". Inclusion criteria were full-text observational study or randomized control trial articles stating dural tear or incidental durotomy rate in both primary and reoperative spinal decompression surgery. Articles which not written in Bahasa or English were excluded. From 320 studies, total 9 studies were eligible for this study. Statistical analysis was done by using Review Manager 5 in December 2017. Based on statistical analysis, there was difference between dural tear incidence between primary compared to reoperative spinal decompression surgery. Dural tear appeared less frequent in primary surgery and this result was significant. It still needs more multicenter and long term period researches in the future to get better understanding dural tear incidence in spinal decompression surgery.

Keywords: Dural tear, Primary, Reoperative, Spinal decompression surgery


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