PDF(Pubmed)
Abstract：
UNASSIGNED: Postoperative spontaneous spinal epidural hematoma (SSEDH) is a rare complication in clinical practice. Despite its rarity, SSEDH is a critical emergency situation associated with neurological deficits, and improper or delayed management may lead to severe consequences. Therefore, surgical operators should familiarize themselves with SSEDH and give it more attention.
METHODS: This study describes the case of an elderly woman diagnosed with a left unilateral femoral neck fracture, severe osteoporosis, and multi-segmental vertebral compression fracture. Following artificial femoral head replacement surgery, the patient developed postoperative SSEDH. Subsequently, the patient underwent surgical removal of the posterior epidural hematoma and spinal cord decompression. The postoperative recovery was favorable, with normal muscle strength and tension in both lower limbs. A 4-year follow-up showed no complications.
UNASSIGNED: The occurrence of SSEDH during the perioperative period of non-spinal surgeries is relatively uncommon. However, SSEDH is a neurosurgical emergency associated with neurological deficits, and prompt surgical intervention is crucial for successful treatment.
CONCLUSIONS: Clinicians should enhance their knowledge of SSEDH and remain vigilant towards this condition. Literature review highlights the significance of factors such as aging in the development of SSEDH following non-spinal surgeries in the perioperative period.
METHODS: This study describes the case of an elderly woman diagnosed with a left unilateral femoral neck fracture, severe osteoporosis, and multi-segmental vertebral compression fracture. Following artificial femoral head replacement surgery, the patient developed postoperative SSEDH. Subsequently, the patient underwent surgical removal of the posterior epidural hematoma and spinal cord decompression. The postoperative recovery was favorable, with normal muscle strength and tension in both lower limbs. A 4-year follow-up showed no complications.
UNASSIGNED: The occurrence of SSEDH during the perioperative period of non-spinal surgeries is relatively uncommon. However, SSEDH is a neurosurgical emergency associated with neurological deficits, and prompt surgical intervention is crucial for successful treatment.
CONCLUSIONS: Clinicians should enhance their knowledge of SSEDH and remain vigilant towards this condition. Literature review highlights the significance of factors such as aging in the development of SSEDH following non-spinal surgeries in the perioperative period.
摘要：
■术后自发性脊髓硬膜外血肿（SSEDH）是临床实践中罕见的并发症。尽管它很罕见,SSEDH是与神经功能缺损相关的危急情况，管理不当或延误可能导致严重后果。因此,手术操作者应熟悉SSEDH并给予更多关注。
方法：本研究描述了一名诊断为左侧单侧股骨颈骨折的老年妇女的案例，严重的骨质疏松症,多节段椎体压缩性骨折。人工股骨头置换手术后，患者术后出现SSEDH。随后，患者接受了手术切除后硬膜外血肿和脊髓减压术。术后恢复良好，下肢肌肉力量和张力正常。4年随访未发现并发症。
■非脊柱手术围手术期SSEDH的发生相对少见。然而,SSEDH是与神经功能缺损相关的神经外科急症，及时的手术干预对成功治疗至关重要。
结论：临床医生应提高对SSEDH的认识，并对这种情况保持警惕。文献综述强调了围手术期非脊柱手术后SSEDH发展中衰老等因素的重要性。
方法：本研究描述了一名诊断为左侧单侧股骨颈骨折的老年妇女的案例，严重的骨质疏松症,多节段椎体压缩性骨折。人工股骨头置换手术后，患者术后出现SSEDH。随后，患者接受了手术切除后硬膜外血肿和脊髓减压术。术后恢复良好，下肢肌肉力量和张力正常。4年随访未发现并发症。
■非脊柱手术围手术期SSEDH的发生相对少见。然而,SSEDH是与神经功能缺损相关的神经外科急症，及时的手术干预对成功治疗至关重要。
结论：临床医生应提高对SSEDH的认识，并对这种情况保持警惕。文献综述强调了围手术期非脊柱手术后SSEDH发展中衰老等因素的重要性。
