| Autor: |
Michita Noma, Masato Anno, Hiroshi Shinbori, Hiroshi Hayashi |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Journal of Orthopaedic Reports, Vol 3, Iss 3, Pp 100316- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2773-157X |
| DOI: |
10.1016/j.jorep.2024.100316 |
| Popis: |
Background: A subdural hematoma complicating a spinal surgery is a rare occurrence. Previous studies have reported good recovery rates after conservative treatment. However, the conservative treatment for a subdural hematoma causing syringomyelia with neurological deficits has not been reported. We present a rare case of a complication of syringomyelia after a minimally invasive spinal surgery. Case report: A 43-year-old man with a T12 chance fracture underwent percutaneous transpedicular vertebroplasty and pedicle screw fixation. Postoperatively, he complained of bilateral thigh pain and lower extremity weakness. Magnetic resonance imaging showed subdural collection on the ventral side and in the thoracolumbar region. He was conservatively treated. The symptoms significantly improved at approximately two months postoperatively. However, at six months postoperatively, his symptoms reappeared and he exhibited a staggering gait and needed a cane for ambulation. He had hyperalgesia below the hypochondrium, and urinary and fecal incontinence. Magnetic resonance imaging revealed a cord-like structure providing traction on the thoracic spinal cord ventrally, in which a cavitary lesion extended from T5 to T11. Conclusions: A conservatively treated case of subdural ventral hematoma after a spinal surgery complicated with adhesive arachnoiditis, resulting in syringomyelia with severe sequelae. Postoperative subdural hematoma may be considered closely followed up for appropriate and timely treatment of adhesive arachnoiditis and syringomyelia. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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