Primary closure of inadvertent durotomies utilizing the U- XXXX in minimally invasive spinal surgery.

@entity1 @entity5173 @entity12897 @entity23396
STUDY DESIGN: Retrospective clinical cohort study. OBJECTIVE: To examine performance of the U- @entity23396 for the closure of inadvertent durotomy occurring during minimally invasive spinal surgery. SUMMARY OF BACKGROUND DATA: Primary closure of inadvertent durotomies that occur during minimally invasive spinal surgery can be technically difficult to accomplish when using standard knot-tying and suture management techniques, owing to the narrow and deep surgical corridor afforded by tubular retraction systems. The U- @entity23396 is a novel device that can achieve tight tissue approximation without the need for knot-tying and excessive suture manipulation, making it ideally suited for use in minimally invasive spinal surgeries. METHODS: We performed a retrospective review of @entity1 who underwent minimally invasive decompressive procedures complicated by durotomy and repaired using U-Clips for the period January 2008 to January 2010. A total of seven @entity1 were identified. RESULTS: Four of the seven @entity1 were male. Six @entity1 underwent lumbar laminectomy or discectomy. One @entity1 underwent resection of a cervical @entity12897 . In each @entity1 , the durotomy was repaired primarily using U-Clips. All six lumbar @entity1 were discharged home on the same day, and the remaining @entity1 was discharged the following morning. Mean follow-up was 6.3 months. No @entity1 experienced symptoms related to persistent @entity5173 . CONCLUSION: Primary closure of an inadvertent durotomy occurring during minimally invasive spinal surgery can be effectively achieved using the self-closing U- @entity23396 device.
