Compressive Postoperative Seromas Causing Delayed Neurological Deterioration Following Cervical Laminectomy and Instrumented Fusion.
| Autor: | Lor KKH; Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, SGP., Decruz J; Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, SGP., Ang ML; Orthopaedic Surgery, Woodlands Health, Singapore, SGP., Pang BC; Neurosurgery, Khoo Teck Puat Hospital, Singapore, SGP., Yang E; Neurosurgery, Khoo Teck Puat Hospital, Singapore, SGP. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Oct 01; Vol. 15 (10), pp. e46326. Date of Electronic Publication: 2023 Oct 01 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.46326 |
| Abstrakt: | Compressive postoperative seromas in the cervical spine are a rare but significant complication following cervical laminectomy and instrumented fusion. There is a paucity of cases reported in the literature, with a majority of the reported cases attributing seroma formation to the use of recombinant human bone morphogenetic protein-2 (rhBMP-2). In this article, we report four cases of compressive postoperative seroma in the absence of rhBMP-2 use and highlight similarities in their clinical presentations. We postulate that seroma formation is a significant complication of the dead space that results following posterior instrumentation in the cervical spine, with or without the use of rhBMP-2. The typical presentation is one of the gradual delayed neurological deterioration several days following the index surgery and after drain removal. Neurological deterioration can be reversed rapidly with early recognition and drainage of the seroma. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Lor et al.) |
| Databáze: | MEDLINE |
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