{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:04Z","timestamp":1787755384532,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 61-year-old woman with recurrent left L5 radiculopathy underwent revision L4-5 decompression complicated by incidental durotomy requiring primary repair. Postoperative course was complicated by wound drainage and headache. Repeat magnetic resonance imaging demonstrated cerebrospinal fluid dissecting a plane deep to the dura mater but superficial to the arachnoid, with the collection compressing the cauda equina in an atypical horizontal and linear fashion. Nonoperative treatment was ineffective, and she required revision decompression and dural repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Spine surgeons should recognize this finding on postoperative imaging as a potential sign of an incomplete dural repair necessitating return to the operating room.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00444","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T14:06:37Z","timestamp":1705673197000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Subdural Dissection of Cerebrospinal Fluid Causing Cauda Equina Centralization After Durotomy"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0420-0718","authenticated-orcid":false,"given":"Emily","family":"Zielinski","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, IU Health University Hospital, Indiana University School of Medicine, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0780-2383","authenticated-orcid":false,"given":"Graham","family":"Beutler","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, IU Health University Hospital, Indiana University School of Medicine, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5328-421X","authenticated-orcid":false,"given":"Christina J.","family":"Hajewski","sequence":"additional","affiliation":[{"name":"Indiana Spine Group, Carmel, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8794-7915","authenticated-orcid":false,"given":"Rick","family":"Sasso","sequence":"additional","affiliation":[{"name":"Indiana Spine Group, Carmel, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.injury.2010.12.014","article-title":"Incidental durotomy during spine surgery: incidence, management and complications. A retrospective review","volume":"43","author":"Guerin","year":"2012","journal-title":"Injury."},{"issue":"20","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"2663","DOI":"10.1097\/00007632-200010150-00019","article-title":"Incidental durotomy in spine surgery","volume":"25","author":"Cammisa","year":"2000","journal-title":"Spine (Phila Pa 1976)."},{"issue":"22","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"2609","DOI":"10.1097\/01.brs.0000241066.55849.41","article-title":"Postoperative management protocol for incidental dural tears during degenerative lumbar spine surgery: a review of 3,183 consecutive degenerative lumbar cases","volume":"31","author":"Khan","year":"2006","journal-title":"Spine (Phila Pa 1976)."},{"issue":"9","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1302\/0301-620X.101B9.BJJ-2019-0381.R1","article-title":"Prognostic impact of intra- and postoperative management of dural tear on postoperative complications in primary degenerative lumbar diseases","volume":"101-B","author":"Takenaka","year":"2019","journal-title":"Bone Joint J."},{"issue":"2","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"165","DOI":"10.3171\/2012.10.SPINE12271","article-title":"Incidental durotomy during lumbar spine surgery: risk factors and anatomic locations: clinical article","volume":"18","author":"Takahashi","year":"2013","journal-title":"J Neurosurg Spine."},{"issue":"22","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"E1339","DOI":"10.1097\/BRS.0000000000000559","article-title":"Incidental durotomy during spinal surgery: a multivariate analysis for risk factors","volume":"39","author":"Du","year":"2014","journal-title":"Spine (Phila Pa 1976)."},{"issue":"suppl 1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1227\/01.neu.0000462078.58454.f4","article-title":"SPORT: Does incidental durotomy affect longterm outcomes in cases of spinal stenosis?","volume":"76","author":"Desai","year":"2015","journal-title":"Neurosurgery."},{"issue":"11","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"e0188038","DOI":"10.1371\/journal.pone.0188038","article-title":"Risk factors for incidental durotomy during posterior open spine surgery for degenerative diseases in adults: a multicenter observational study","volume":"12","author":"Ishikura","year":"2017","journal-title":"PLoS One."},{"issue":"2","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.spinee.2012.01.012","article-title":"Risk factors for unintended durotomy during spine surgery: a multivariate analysis","volume":"12","author":"Baker","year":"2012","journal-title":"Spine J."},{"issue":"9","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"537","DOI":"10.5435\/00124635-201009000-00005","article-title":"Dural tears in spine surgery","volume":"18","author":"Espiritu","year":"2010","journal-title":"J Am Acad Orthop Surg."},{"issue":"4","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/00007632-199004000-00011","article-title":"Diagnosis of lumbar arachnoiditis by magnetic resonance imaging","volume":"15","author":"Delamarter","year":"1990","journal-title":"Spine (Phila Pa 1976)."},{"issue":"1","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s13014-017-0887-8","article-title":"Risk for surgical complications after previous stereotactic body radiotherapy of the spine","volume":"12","author":"Roesch","year":"2017","journal-title":"Radiat Oncol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:07Z","timestamp":1787751727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00444"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00444","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}