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KMID : 1189320120060020152
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Asian Spine Journal
2012 Volume.6 No. 2 p.152 ~ p.155
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Symptomatic Extensive Thoracolumbar Epidural Hematoma Following Lumbar Disc Surgery Treated by Single Level Laminectomy
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Ali Youssef
Roux Francois Xavier
Meder Jean Francois
Pallud Johan
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Abstract
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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.
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KEYWORD
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Epidural, Hematoma, Spine, Surgery, Management, Emergency, Postoperative
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