File Download
  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Acute spinal subdural haematoma complicating lumbar decompressive surgery

TitleAcute spinal subdural haematoma complicating lumbar decompressive surgery
Authors
Issue Date2011
PublisherThieme Medical Publishers. The Journal's web site is located at http://www.thieme.com/index.php?page=shop.product_details&flypage=flypage.tpl&product_id=965&category_id=90&option=com_virtuemart&Itemid=53
Citation
Evidence-Based Spine-Care Journal, 2011, v. 3 n. 1, p. 57-62 How to Cite?
AbstractStudy design: A case report.Objective: To report a rare case of acute spinal subdural hematoma (SSH) complicating lumbar spine surgery, its characteristic presenting symptoms, diagnostic imaging, possible cause, and pitfall in management.Methods: A 59-year-old woman with lumbar spinal instability and stenosis underwent laminectomy and decompression at L3-L5 with instrumentation and fusion from L3-S1.Results: Immediately following surgery, the patient presented with incapacitating pain of both lower extremities from the mid-thigh downward, which was not relieved by narcotic analgesia and was disproportional to surgical trauma. Left ankle and great toes weakness was detected at postoperative day 2 and deteriorated on day 6. Magnetic resonance imaging was performed urgently and revealed a characteristic SSH with thecal sac compression at the level of L2, proximal to the laminectomy. Emergency decompression and evacuation of the hematoma was performed. The patient had partial recovery 6 weeks postoperatively.Conclusion: Acute SSH is a rare complication of lumbar spine surgery. This diagnosis must be considered when severe leg pain, unresolved with analgesia and disproportional to surgical trauma, with neurological deterioration occurring after lumbar spine surgery. Magnetic resonance imaging is the imaging modality of choice to assist in the differential diagnosis of an SSH. Early surgical decompression is necessary for optimal neurological recovery.
Persistent Identifierhttp://hdl.handle.net/10722/137439
ISSN
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorChang, KCen_US
dc.contributor.authorSamartzis, Den_US
dc.contributor.authorLuk, KDKen_US
dc.contributor.authorCheung, KMCen_US
dc.contributor.authorWong, YWen_US
dc.date.accessioned2011-08-26T14:25:07Z-
dc.date.available2011-08-26T14:25:07Z-
dc.date.issued2011en_US
dc.identifier.citationEvidence-Based Spine-Care Journal, 2011, v. 3 n. 1, p. 57-62en_US
dc.identifier.issn1663-7976-
dc.identifier.urihttp://hdl.handle.net/10722/137439-
dc.description.abstractStudy design: A case report.Objective: To report a rare case of acute spinal subdural hematoma (SSH) complicating lumbar spine surgery, its characteristic presenting symptoms, diagnostic imaging, possible cause, and pitfall in management.Methods: A 59-year-old woman with lumbar spinal instability and stenosis underwent laminectomy and decompression at L3-L5 with instrumentation and fusion from L3-S1.Results: Immediately following surgery, the patient presented with incapacitating pain of both lower extremities from the mid-thigh downward, which was not relieved by narcotic analgesia and was disproportional to surgical trauma. Left ankle and great toes weakness was detected at postoperative day 2 and deteriorated on day 6. Magnetic resonance imaging was performed urgently and revealed a characteristic SSH with thecal sac compression at the level of L2, proximal to the laminectomy. Emergency decompression and evacuation of the hematoma was performed. The patient had partial recovery 6 weeks postoperatively.Conclusion: Acute SSH is a rare complication of lumbar spine surgery. This diagnosis must be considered when severe leg pain, unresolved with analgesia and disproportional to surgical trauma, with neurological deterioration occurring after lumbar spine surgery. Magnetic resonance imaging is the imaging modality of choice to assist in the differential diagnosis of an SSH. Early surgical decompression is necessary for optimal neurological recovery.-
dc.languageengen_US
dc.publisherThieme Medical Publishers. The Journal's web site is located at http://www.thieme.com/index.php?page=shop.product_details&flypage=flypage.tpl&product_id=965&category_id=90&option=com_virtuemart&Itemid=53-
dc.relation.ispartofEvidence-Based Spine-Care Journalen_US
dc.rightsEvidence-Based Spine-Care Journal. Copyright © Thieme Medical Publishers.-
dc.titleAcute spinal subdural haematoma complicating lumbar decompressive surgeryen_US
dc.typeArticleen_US
dc.identifier.emailSamartzis, D: dspine@hku.hken_US
dc.identifier.emailLuk, KDK: hcm21000@hku.hken_US
dc.identifier.emailCheung, KMC: cheungmc@hku.hken_US
dc.identifier.emailWong, YW: yatwa@hkucc.hku.hken_US
dc.identifier.authoritySamartzis, D=rp01430en_US
dc.identifier.authorityCheung, KMC=rp00387en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1055/s-0031-1298602-
dc.identifier.pmid23236307-
dc.identifier.pmcidPMC3503516-
dc.identifier.hkuros189122en_US
dc.identifier.hkuros207347-
dc.identifier.volume3-
dc.identifier.issue1-
dc.identifier.spage57-
dc.identifier.epage62-
dc.publisher.placeUnited States-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats