First report of lumbar spinal epidural hematoma after pelvic ring fracture.
Journal
Spinal cord series and cases
ISSN: 2058-6124
Titre abrégé: Spinal Cord Ser Cases
Pays: England
ID NLM: 101680856
Informations de publication
Date de publication:
11 07 2023
11 07 2023
Historique:
received:
09
10
2022
accepted:
27
06
2023
revised:
25
05
2023
pmc-release:
11
07
2024
medline:
13
7
2023
pubmed:
12
7
2023
entrez:
11
7
2023
Statut:
epublish
Résumé
Spinal epidural hematoma is a rare condition that most commonly occurs as a complication of spinal surgery. For patients with neurological deficits, surgical decompression can generally provide good outcome. A 56-year-old, otherwise healthy, patient was admitted to the orthopedic emergency department with a pelvic ring fracture. Over the course of 4 days, a lumbar spinal epidural hematoma developed, with the patient complaining of pain radiating to the S1 dermatome and saddle paresthesia. The hematoma was surgically decompressed, and the patient had a complete recovery. To our knowledge, this is the first report of a spinal epidural hematoma after pelvic ring fracture. The etiology of spinal epidural hematoma is diverse, but it is most frequently observed after spinal surgery. It has rarely been observed after lumbar spinal fractures, nearly exclusively in patients with ankylosing spondylitis. Pelvic ring fracture might result in spinal epidural hematoma. The presence of neurological deficits after such fractures is an indication for lumbosacral MRI. Surgical decompression will generally resolve the neurological symptoms.
Identifiants
pubmed: 37433778
doi: 10.1038/s41394-023-00589-z
pii: 10.1038/s41394-023-00589-z
pmc: PMC10336082
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
30Informations de copyright
© 2023. The Author(s), under exclusive licence to International Spinal Cord Society.
Références
J Clin Neurosci. 2021 Apr;86:242-246
pubmed: 33775335
Clin Orthop Relat Res. 2014 Aug;472(8):2338-42
pubmed: 24867452
Spine Surg Relat Res. 2019 Jan 25;3(3):244-248
pubmed: 31440683
Spine J. 2010 Apr;10(4):e21-5
pubmed: 20362244
Emerg Radiol. 2021 Jun;28(3):601-611
pubmed: 33452963
Medicine (Baltimore). 2021 Feb 12;100(6):e24685
pubmed: 33578600
Neurosurg Focus. 2021 Oct;51(4):E5
pubmed: 34598124
Biomed Res Int. 2020 Dec 23;2020:8827962
pubmed: 33426075
J Spinal Cord Med. 2011 Nov;34(6):535-46
pubmed: 22330108
Neurospine. 2018 Mar;15(1):101-107
pubmed: 29656630
Eur Spine J. 2016 May;25 Suppl 1:224-9
pubmed: 27002614
Neurosurg Rev. 2003 Jan;26(1):1-49
pubmed: 12520314