Symptomatic Extensive Thoracolumbar Epidural Hematoma Following Lumbar Disc Surgery Treated by Single Level Laminectomy
Asian Spine Journal
;
: 152-155, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-92973
ABSTRACT
Spinal epidural hematomas (SEHs) are rare complications following spine surgery, especially for single level lumbar discectomies. The appropriate surgical management for such cases remains to be investigated. We report a case of an extensive spinal epidural hematoma from T11-L5 following a L3-L4 discectomy. The patient underwent a single level L4. A complete evacuation of the SEH resulted in the patient's full recovery. When presenting symptoms limited to the initial surgical site reveal an extensive postoperative SEH, we propose to tailor the surgical exposure individually based on preoperative findings of the SEH; and to begin the surgical exposure with a limited laminectomy focused on the symptomatic levels that may allow an efficient evacuation of the SEH instead of a systematic extensive laminectomy based on imaging.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coluna Vertebral
/
Discotomia
/
Hematoma Epidural Espinal
/
Emergências
/
Hematoma
/
Laminectomia
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Asian Spine Journal
Ano de publicação:
2012
Tipo de documento:
Artigo
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