en ستون فقرات Spine surgery مروری Review Paper <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><strong>Background</strong>: Incidental dural tears are among the most critical complications in spine surgery. It may be identified either intraoperatively or postoperatively. Dural tears management is multifaceted, influenced by factors such as the location of the tear and actual conditions. Despite numerous techniques reported in the literature for dural tear repair, spine surgeons have no consensus on this matter.&nbsp;<br> <strong>Methods</strong>: This narrative review explores existing articles and uses practical experience to propose an algorithmic approach for dural tears management. Additionally, this review evaluates other aspects of dural tears, including classification, risk factors, repair methods, the utility of drains, antibiotic prophylaxis, and dural tears in the context of vertebral fractures.&nbsp;<br> <strong>Results</strong>: By combining evidence-based recommendations with clinical expertise, this study seeks to provide a comprehensive understanding of dural tears in spine surgery and offer guidance for optimizing patient outcomes.<br> <strong>Conclusion</strong>: An algorithmic approach integrating evidence and clinical expertise can guide effective management of dural tears in spine surgery, improving patient outcomes.</span></span></span></div> Incidental dural tear, Spine surgery, Complication management, Repair techniques, Algorithmic approach, Narrative review 1 6 http://jros.iums.ac.ir/browse.php?a_code=A-10-704-2&slc_lang=en&sid=1 Ali Valiolahpour Amiri Hamidortho50@gmail.com 10031947532846007215 10031947532846007215 No Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran. Seyed Matin Sadat Kiaei matin.sk2@gmail.com 10031947532846007216 10031947532846007216 Yes Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran. MirBahador Athari Bahadorathari@gmail.com 10031947532846007217 10031947532846007217 No Department of Orthopedic Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammadreza Chehrassan morchehrasan@yahoo.com 10031947532846007218 10031947532846007218 No Bone and Joint Reconstruction Research Center, Shafa Yahyaeian Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.