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Related Experiment Video

Updated: Jun 6, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

DuraSeal-hematoma: concealed hematoma causing spinal cord compression.

Gabriel Lee¹, Cheng Kiang Lee, Michael Bynevelt

¹Department of Neurosurgery, University of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Australia. gabriellee2004@yahoo.com.au

|November 25, 2010

Summary

Duraseal, a hydrogel used for dural repair, can entrap extradural hematomas, leading to spinal cord compression. This case highlights a rare complication of Duraseal use in posterior cervical surgery.

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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Area of Science:

Neurosurgery
Spinal Surgery
Biomaterials

Background:

Duraseal is a hydrogel sealant used for dural defect repair to prevent cerebrospinal fluid leaks.
While hydrogel expansion is known, Duraseal-entrapped hematoma is a previously unreported complication.

Observation:

A case report details an 80-year-old woman who developed delayed functional deterioration after posterior cervical surgery.
Postoperative MRI revealed an extradural hematoma causing severe spinal cord compression.

Findings:

Intraoperative findings showed Duraseal formed a restrictive layer, entrapping an extradural hematoma.
This entrapment prevented hematoma evacuation by the surgical drain, leading to cord compression.

Implications:

Duraseal can effectively seal dural defects but carries a risk of entrapping extradural bleeding.
Judicious use of Duraseal is recommended, recognizing its potential for causing compressive hematomas.