1. Early mobilization vs prolonged ( > 24hrs) bedrest for incidental durotomy

Incidence of unintended durotomy in thoracic and lumbar decompression procedures ranges from 3%-13%. An arbitrary length of flat bed rest is often prescribed as a tool to reduce cerebrospinal fluid (CSF) pressure on a compromised dural closure. Two popular thoughts are that flat bed rest>24 hours increases medical complications, but flat bed rest> 24 hours protects against CSF leaks/wound complications by reducing the hydrostatic pressure on dural repair.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Wednesday, September 29, 2021 7:35 AM – 8:35 AM Best Papers Source Type: research