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Article: Spinal epidural hematoma in a scoliotic patient with long fusion: a case report

TitleSpinal epidural hematoma in a scoliotic patient with long fusion: a case report
Authors
Issue Date2008
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/spinee
Citation
Spine Journal, 2008, v. 8 n. 3, p. 538-543 How to Cite?
AbstractBackground context: This is the only reported case on a spinal epidural hematoma occurring in a fused scoliotic segment. Purpose: To report the first case of a spinal epidural hematoma developed within the fused segment of a scoliotic curve and to raise clinicians' awareness of the pathology of a spinal epidural hematoma. Study design/setting: A case report. Patient sample: A 53-year-old woman with long spinal fusion for severe kyphoscoliosis diagnosed as a teenager. Outcome measures: Neurological improvement and clinical follow-up for any occult spinal fracture. Methods: A patient was surgically treated for a spinal epidural hematoma causing paraparesis. Clinical and radiological features were reported. Results: The etiology of this case could not be defined, although the patient had a minor fall injury. Radiography and computed tomography scans could not detect any obvious fracture. Magnetic resonance imaging showed typical features of an epidural hematoma. After the hematoma evacuation, the patient's neurology gradually improved. Conclusions: Long fusion, differential stiffness along the fusion block, implant removal, and significant residual deformity may increase the risk of an epidural hematoma formation after trivial trauma without an obvious fracture on imaging. Clinicians should be mindful of this possibility and look out for any hematoma in the fused segment(s). © 2008 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/170125
ISSN
2015 Impact Factor: 2.66
2015 SCImago Journal Rankings: 1.153
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, YWen_US
dc.contributor.authorLuk, KDKen_US
dc.date.accessioned2012-10-30T06:05:28Z-
dc.date.available2012-10-30T06:05:28Z-
dc.date.issued2008en_US
dc.identifier.citationSpine Journal, 2008, v. 8 n. 3, p. 538-543en_US
dc.identifier.issn1529-9430en_US
dc.identifier.urihttp://hdl.handle.net/10722/170125-
dc.description.abstractBackground context: This is the only reported case on a spinal epidural hematoma occurring in a fused scoliotic segment. Purpose: To report the first case of a spinal epidural hematoma developed within the fused segment of a scoliotic curve and to raise clinicians' awareness of the pathology of a spinal epidural hematoma. Study design/setting: A case report. Patient sample: A 53-year-old woman with long spinal fusion for severe kyphoscoliosis diagnosed as a teenager. Outcome measures: Neurological improvement and clinical follow-up for any occult spinal fracture. Methods: A patient was surgically treated for a spinal epidural hematoma causing paraparesis. Clinical and radiological features were reported. Results: The etiology of this case could not be defined, although the patient had a minor fall injury. Radiography and computed tomography scans could not detect any obvious fracture. Magnetic resonance imaging showed typical features of an epidural hematoma. After the hematoma evacuation, the patient's neurology gradually improved. Conclusions: Long fusion, differential stiffness along the fusion block, implant removal, and significant residual deformity may increase the risk of an epidural hematoma formation after trivial trauma without an obvious fracture on imaging. Clinicians should be mindful of this possibility and look out for any hematoma in the fused segment(s). © 2008 Elsevier Inc. All rights reserved.en_US
dc.languageengen_US
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/spineeen_US
dc.relation.ispartofSpine Journalen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshFemaleen_US
dc.subject.meshHematoma, Epidural, Spinal - Etiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMagnetic Resonance Imagingen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshParaparesis - Etiologyen_US
dc.subject.meshScoliosis - Surgeryen_US
dc.subject.meshSpinal Fusion - Adverse Effectsen_US
dc.titleSpinal epidural hematoma in a scoliotic patient with long fusion: a case reporten_US
dc.typeArticleen_US
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_US
dc.identifier.authorityLuk, KDK=rp00333en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.spinee.2007.03.011en_US
dc.identifier.pmid17938005-
dc.identifier.scopuseid_2-s2.0-42949156276en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-42949156276&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume8en_US
dc.identifier.issue3en_US
dc.identifier.spage538en_US
dc.identifier.epage543en_US
dc.identifier.isiWOS:000256181300017-
dc.publisher.placeNetherlandsen_US
dc.identifier.scopusauthoridWong, YW=34882411200en_US
dc.identifier.scopusauthoridLuk, KDK=7201921573en_US

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