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EXHIBIT ID: SP_A_1039

Intra-operative Dural Tear

Kerrison punch removes more lamina and facet on the left. Cauda equina nerve roots and arachnoiditis scar tissue with small globules of CSF fluid protrude out of the dural tear.

dura laminectomy l2 l3 kerrison punch arachnoiditis cauda equina nerve root