Spine Surgery Scoliosis Specialist Cochin Kerala India

Key Takeaway: Repairing an incidental dural tear in tight, restricted surgical corridors during spine surgery requires precise closure techniques. Dr. Krishna Kumar R demonstrates the application of non-penetrating titanium vascular clips to achieve a secure, watertight repair in the late dural dural sleeve without compromising tissue integrity. Surgical Overview: Managing Dural Tears in Restricted Corridors An incidental dural tear (durotomy) is a known intraoperative occurrence during complex spine operations. When tears occur in hard-to-reach locations—such as the lateral aspect of the dural sleeve—conventional direct primary suturing can be technically challenging due to limited exposure and narrow access angles. Advantages of Non-Penetrating Titanium Vascular Clips Using non-penetrating titanium vascular clips offers key technical advantages in minimally invasive and restricted-access spine procedures: Avoids Secondary Needle Hole Leaks: Traditional suture needles p...

Intraoperative neuromonitoring (IONM) is a real-time nerve-monitoring technology used during spine surgery to detect early warning signs of spinal cord or nerve injury before they become permanent. A 2026 global survey of 529 spine surgeons across five continents — published in the Global Spine Journal — found that most surgeons hold a positive view of IONM and use it consistently for high-risk, spinal cord–level surgery, but nearly 1 in 10 surgeons worldwide have no access to it at all, and economic and logistical barriers remain the biggest obstacles to wider adoption. Why This Study Matters For decades, intraoperative neuromonitoring has been recognized as valuable in high-risk spine surgery, but until now, there has been little global data on how consistently it's actually available, who interprets the readings, and how surgeons respond when something goes wrong during a procedure. To close that gap, the AO Spine Knowledge Forum Deformity conducted a cross-sectional global surv...