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KMID : 1234820240250010061
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Korean Society of Law and Medicine
2024 Volume.25 No. 1 p.61 ~ p.86
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Analysis of Medical Decisions related to Epidural Hematoma after Spinal Surgery-Focusing on the Lumbar MRI-
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Lee Dong-Jin
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Abstract
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The purpose of this study was to investigate the importance of continuous and detailed follow-up of patients after spinal surgery by reviewing the literature on epidural hematoma and the lower court ruling on lumbar MRI during the judgment on the negligence of postoperative follow-up. In the case of neglecting MRI examination or cooperation after surgery, delaying MRI examination after pain and symptom appeal after surgery, and returning home immediately after neurological symptom development after surgery, negligence in progress observation was recognized. In the case of the case where the negligence was not recognized even after the occurrence of the aftereffects by taking measures against the symptoms, and the case where the scope of the doctor 's discretion for the execution of the test was recognized, It is hoped that this study will help prevent medical accidents and disputes related to follow-up after spinal surgery by increasing awareness of the importance of prompt MRI examination, diagnosis, surgical treatment, and power, especially in the case of new neurological symptoms.
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KEYWORD
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Spinal surgery, Epidural hematoma, Lumbar MRI, Hematomaectomy, Negligence on progress observation
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