Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture
Joint Authors
Takahira, Naonobu
Matsuura, Terumasa
Minato, Tsuyoki
Saito, Wataru
Shoji, Shintaro
Nakazawa, Toshiyuki
Imura, Takayuki
Minehara, Hiroaki
Kawamura, Tadashi
Namba, Takanori
Miyagi, Masayuki
Takaso, Masashi
Inoue, Gen
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present a rare case of spinal epidural hematoma (SEH) after thoracolumbar posterior fusion without decompression surgery for a thoracic vertebral fracture.
A 42-year-old man was hospitalized for a thoracic vertebral fracture caused by being sandwiched against his back on broken concrete block.
Computed tomography revealed a T12 dislocation fracture of AO type B2, multiple bilateral rib fractures, and a right hemopneumothorax.
Four days after the injury, in order to promote early orthostasis and to improve respiratory status, we performed thoracolumbar posterior fusion surgery without decompression; the patient had back pain but no neurological deficits.
Three hours after surgery, he complained of acute pain and severe weakness of his bilateral lower extremities; with allodynia below the level of his umbilicus, postoperative SEH was diagnosed.
We performed immediate revision surgery.
After removal of the hematoma, his symptoms improved gradually, and he was discharged ambulatory one month after revision surgery.
Through experience of this case, we should strongly consider the possibility of preexisting SEH before surgery, even in patients with no neurological deficits.
We should also consider perioperative coagulopathy in patients with multiple trauma, as in this case.
American Psychological Association (APA)
Minato, Tsuyoki& Miyagi, Masayuki& Saito, Wataru& Shoji, Shintaro& Nakazawa, Toshiyuki& Inoue, Gen…[et al.]. 2016. Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102039
Modern Language Association (MLA)
Minato, Tsuyoki…[et al.]. Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture. Case Reports in Orthopedics No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1102039
American Medical Association (AMA)
Minato, Tsuyoki& Miyagi, Masayuki& Saito, Wataru& Shoji, Shintaro& Nakazawa, Toshiyuki& Inoue, Gen…[et al.]. Spinal Epidural Hematoma after Thoracolumbar Posterior Fusion Surgery without Decompression for Thoracic Vertebral Fracture. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102039
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102039