PDF(Pubmed)
Abstract：
Introduction: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. Case Report: We present the case of a young patient operated on for stabilization of a two-level thoracic vertebra fracture who developed total paralysis due to an epidural hematoma postoperatively. The course of epidural hematoma was quickly reversed with the help of a conservative technique that prevented revision surgery. The patient regained complete neurologic function very rapidly, and has been well on every follow-up to date. Conclusion: There is a role of similar maneuvers as described in this case to be employed in the management of postoperative epidural hematomas. However, prolonged watchful waiting should still be discouraged, and patients should remain ready for revision surgery if there are no early signs of rapid recovery.
摘要：
简介：颈椎和胸椎的术后硬膜外血肿可能会造成严重的神经系统损害，有时需要立即进行减压手术。病例报告：我们介绍了一名年轻患者的病例，该患者接受了两段胸椎骨折的稳定手术，该患者术后由于硬膜外血肿而出现完全瘫痪。在防止翻修手术的保守技术的帮助下，硬膜外血肿的过程迅速逆转。病人很快恢复了完整的神经功能，到目前为止，每次跟进都很好。结论：在这种情况下，类似的操作可用于治疗术后硬膜外血肿。然而,长时间的警惕等待仍然应该被阻止，如果没有快速恢复的早期迹象，患者应该做好翻修手术的准备。
