Incidence and Clinical Features of Postoperative Symptomatic Hematoma after Spine Surgery: A Multicenter Study of 45 Patients.

complication incidence neurological outcome spinal hematoma

Journal

Spine surgery and related research
ISSN: 2432-261X
Titre abrégé: Spine Surg Relat Res
Pays: Japan
ID NLM: 101718059

Informations de publication

Date de publication:
2020
Historique:
received: 30 08 2019
accepted: 29 09 2019
entrez: 15 5 2020
pubmed: 15 5 2020
medline: 15 5 2020
Statut: epublish

Résumé

Symptomatic postoperative hematoma after spine surgery is a rare but serious complication. The objective of this study was to investigate the incidence and clinical features of symptomatic postoperative hematoma after spine surgery. We retrospectively identified 10,680 patients who underwent spine surgery between 2002 and 2012 in nine hospitals. We reviewed the incidence of postoperative hematoma and its clinical features, including time before onset, main symptoms, and neurological outcomes. The overall incidence of symptomatic postoperative hematoma after spine surgery was 0.4% (45/10,680). Postoperative hematoma was more frequent after thoracic spine surgery than after cervical or lumbar surgery. The onset of postoperative hematoma occurred at an average of 2.6 days (range 0-14 days) postoperatively. The chief symptoms caused by postoperative hematoma after spine surgery were tetra/paraplegia in 30 patients, hemiplegia in eight patients, intractable pain in five patients, and airway dysfunction in two patients. Surgical evacuation of the spinal epidural hematoma resulted in improvement of at least one grade in 35 patients, while four patients had complete motor paralysis even after evacuation surgery. We report the clinical details of 45 patients with postoperative hematoma after spine surgery. This information could assist surgeons to make a prompt diagnosis and perform early evacuation surgery for postoperative hematoma following spine surgery.

Identifiants

pubmed: 32405558
doi: 10.22603/ssrr.2019-0080
pmc: PMC7217683
doi:

Types de publication

Journal Article

Langues

eng

Pagination

130-134

Informations de copyright

Copyright © 2020 by The Japanese Society for Spine Surgery and Related Research.

Déclaration de conflit d'intérêts

Conflicts of Interest: The authors declare that there are no relevant conflicts of interest.

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Auteurs

Soichiro Masuda (S)

Department of Orthopedic Surgery, Japan Community Health Care Organization, Shimane, Japan.

Shunsuke Fujibayashi (S)

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.

Mitsuru Takemoto (M)

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.
Department of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.

Youngwoo Kim (Y)

Department of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.

Bungo Otsuki (B)

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.
Department of Orthopaedic Surgery, Kobe Central General Hospital, Kobe, Japan.

Masato Ota (M)

Department of Orthopaedic Surgery, Kitano Hospital, Osaka, Japan.

Tsunemitsu Soeda (T)

Department of Orthopaedic Surgery, Gakkentoshi Hospital, Kyoto, Japan.

Kei Watanabe (K)

Department of Orthopaedic Surgery, Osaka Red Cross Hospital, Osaka, Japan.

Takeshi Sakamoto (T)

Department of Orthopaedic Surgery, Osaka Red Cross Hospital, Osaka, Japan.

Naoya Tsubouchi (N)

Department of Orthopaedic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.

Shuichi Matsuda (S)

Department of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.

Classifications MeSH