Document Detail

Spinal epidural hematoma in a scoliotic patient with long fusion: a case report.
MedLine Citation:
PMID:  17938005     Owner:  NLM     Status:  MEDLINE    
BACKGROUND 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).
Yat Wa Wong; K D K Luk
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-06-18
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  8     ISSN:  1529-9430     ISO Abbreviation:  Spine J     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-05     Completed Date:  2008-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  538-43     Citation Subset:  IM    
Queen Mary Hospital, Hong Kong, 102 Pokfulam Road, Hong Kong, China.
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MeSH Terms
Hematoma, Epidural, Spinal / etiology*
Magnetic Resonance Imaging
Middle Aged
Paraparesis / etiology
Scoliosis / surgery*
Spinal Fusion / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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