caa a22 4500 60621514X CHVBK 20210128101057.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00701-014-2325-0 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2325-0 The intra- and postoperative management of accidental durotomy in lumbar spine surgery: results of a German survey [Elektronische Daten] [Christin Clajus, Florian Stockhammer, Veit Rohde] Background: The intra- and postoperative management of accidental durotomy in operations of the lumbar spine is not standardized. It is the aim of our survey to obtain an overview on the current practice in neurosurgical departments in Germany. Methods: The used questionnaire consisted of three questions and could be answered within a few minutes by checking boxes. In September 2012, the questionnaire was sent to 149 German neurosurgical departments. In the following 4 weeks 109 replies (73.2%) were received. Results: Seventy-one neurosurgical departments (65.1%) treat dural tears by a combination of methods, 28 (25.7%) with suture alone, 7 (6.4%) with fibrin-coated fleeces alone, 2 (1.8%) with muscle patch alone and 1 (0.9%) with fibrin glue alone. Sixty-six neurosurgical departments (60.5%) decide on postoperative bed rest depending on the quality of the dural closure. Forty-three (39.5%) neurosurgical departments do not rely on the quality of the dural closure for their postoperative management. In total, 72.5% of the neurosurgical departments prescribe bed rest for 1-3days, 1.8% for more than 3days, whereas 25.7% allow immediate mobilization. Conclusions: Among German neurosurgeons, no consensus exists concerning the intra- and postoperative management of accidental durotomies in lumbar spine surgery. Despite not being proved to reduce the rate of cerebrospinal fluid fistulas, bed rest is frequently used. As bed rest prolongs the hospital stay with additional costs and has the potential of a higher rate of medical complications, a prospective multicenter trial is warranted. Springer-Verlag Wien, 2015 Accidental durotomy nationallicence Lumbar spine surgery nationallicence Bed rest nationallicence Survey nationallicence Clajus Christin Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut Stockhammer Florian Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut Rohde Veit Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 525-530 0001-6268 157:3<525 2015 157 701 https://doi.org/10.1007/s00701-014-2325-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2325-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Clajus Christin Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut NATIONALLICENCE 700 1- Stockhammer Florian Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut NATIONALLICENCE 700 1- Rohde Veit Department of Neurosurgery, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/3(2015-03-01), 525-530 0001-6268 157:3<525 2015 157 701