ArticleInternational orthopaedics2017
Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Prophylactic Closed Suction Drainage Is Irrelevant to Accelerated Rehabilitation after Open Reduction and Internal Fixation for Closed Distal Femur Fractures.Orthopaedic surgery · 2020Trial
- Article
- Delayed postoperative spinal epidural hematoma after one-hole split endoscope discectomy: a case report and literature review.Frontiers in surgery · 2026Article
- Nonsurgical segment "spreading-type" symptomatic epidural hematoma formation after lumbar fusion surgery: A case report and literature review.The Journal of international medical research · 2025Review
- Optimal timing for decompression in post-operative epidural hematoma: a retrospective analysis and treatment flowchart.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Utility of prophylactic closed suction drainage in open reduction and internal fixation for tibial plateau fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Consensus statement by the Belgian Society of Neurosurgery and literature review on the diagnosis and management of postoperative spinal epidural hematoma.Brain & spine · 2024Review
- Article
- Comparative study on the selection of drainage methods in posterior lumbar interbody fusion.BMC surgery · 2023Article
- Risk Factors for Incidence of Postoperative Spinal Epidural Hematoma Following Multilevel Microendoscopic Laminectomy.Spine surgery and related research · 2022Article
- Drainage after posterior single-level instrumented lumbar fusion: Natural pressure vs negative pressure.Medicine · 2020Observational
- Delayed Onset Postoperative Spinal Epidural Hematoma after Lumbar Spinal Surgery: Incidence, Risk Factors, and Clinical Outcomes.BioMed research international · 2020Article
- [Blood management in complex reconstructive spine surgery in ASD patients : Do effective measures to reduce bleeding exist?]Der Orthopade · 2018Review
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designThis was a retrospective study to evaluate clinical characteristics of patients who developed symptomatic spinal epidural haematoma (SSEH) after spinal surgery.
objectiveThe objective was to determine clinical parameters associated with the development of SSEH after spinal surgery, and to discuss clinical management and possible preventive measures. Although the incidence rate of SSEH is low, the neurological sequelae are devastating. There are limited reports which identify risk factors for SSEH because of the rarity of the condition.
methodsThe 4,457 cases of spine operations performed in two medical centres were reviewed. Eleven of the cases developed postoperative spinal epidural haematomas, causing neurologic deterioration. The clinical manifestations of these 11 cases were described, and factors associated with the recovery of neurologic function were evaluated.
resultsThe causes of SSEH following spinal surgery included inadequate drainage (9 cases), administration of anticoagulants (6 cases) and complicated coagulation disorders (1 case). The main clinical manifestation was progressive neurological deterioration in the innervated area. Seven cases underwent MRI examination and compressions of dural sac and spinal cord were observed. High pressure haematomas were found in eight cases during haematoma evacuation. Statistical analyses showed that patients with mild nerve injury at the initial stage were associated with better recovery (P<0.05). Patients who recovered completely had shorter symptom duration on average.
conclusionsPost-operative bleeding in the wound and inadequate drainage are the primary causes of SSEH. The severity of neurologic injury before haematoma evacuation was associated with the treatment outcome; therefore, it is important to have early diagnosis of SSEH to prevent progression of the neurologic injury.
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