Fernando Cotrim Gomes, Anna Laura Lima Larcipretti, Francisco Alfonso Rodriguez Elvir, Jordana Borges Camargo Diniz, Tiago Muniz Vieira de Melo, Laís Silva Santana, Helen Michaela de Oliveira, Douglas Carneiro Barroso, Allan Dias Polverini
Incidental durotomies are frequent complications of spine surgery associated with cerebrospinal fluid (CSF) leak-related symptoms. Management typically involves prolonged bed rest to reduce CSF pressure at the durotomy site. However, early ambulation may be a safer, effective alternative. PubMed, Web of Science, Embase, Cochrane, and Scopus were systematically searched for studies comparing early ambulation (bed rest ≤ 24 h) with prolonged bed rest (> 24 h) for patients with incidental durotomies in spine surgeries...
November 22, 2023: Neurosurgical Review