The Impact of Expansile Duraplasty After Resection of Intramedullary Astrocytomas
Currently, duraplasty remains an option based on surgeon judgment, typically in situations when intraoperative swelling occurs, dural closure is not possible, or postoperative cord or tumor expansion is anticipated. With current patient selection practices, providers and patients should be aware of the differences often seen in the postoperative course and appropriately weigh the risks of added surgical complexity against the potential for meaningful improvements in patient quality of life and survival.
Authors
- Daniel Lubelski (ORCID: https://orcid.org/0000-0002-9403-9509)
- Kelly Jiang (ORCID: https://orcid.org/0000-0002-1144-7882)
- Jean‐Paul Wolinsky (ORCID: https://orcid.org/0000-0001-5599-4143)
- Albert Antar (ORCID: https://orcid.org/0000-0002-3169-8873)
- Andrew M. Hersh (ORCID: https://orcid.org/0000-0003-1755-3974)
- Daniel M. Sciubba (ORCID: https://orcid.org/0000-0001-7604-434X)
- George I. Jallo (ORCID: https://orcid.org/0000-0001-9607-6867)
- Abdel‐Hameed Al‐Mistarehi (ORCID: https://orcid.org/0000-0003-4713-8536)
- Nicholas Theodore (ORCID: https://orcid.org/0000-0001-5355-2683)
- Yuanxuan Xia (ORCID: https://orcid.org/0000-0001-6152-8392)
- Carly Weber-Levine (ORCID: https://orcid.org/0000-0003-2057-8419)
- Khaled J. Zaitoun (ORCID: https://orcid.org/0000-0003-0462-0832)
- Pritika Papali
- Sushanth Neerumalla (ORCID: https://orcid.org/0009-0007-9561-8688)
- Benjamin Z. Mendelson
- Noa Ksabi
Institutions
- Northwestern University (US)
- West Virginia University (US)
- Hofstra University (US)
- Johns Hopkins University (US)
- Jordan University of Science and Technology (JO)
- Johns Hopkins Medicine (US)
- Johns Hopkins All Children's Hospital (US)
- Neurological Surgery (US)
Publication Details
- Journal
- Operative Neurosurgery
- Published
- 2025-09-16
- DOI
- https://doi.org/10.1227/ons.0000000000001762
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00