Research progress on early diagnosis, reasonable prevention and treatment of symptomatic spinal epidural hematoma following spinal surgery
10.3760/cma.j.issn.0529-5815.2017.11.013
- VernacularTitle: 脊柱术后症状性硬膜外血肿早期诊断和合理防治的研究进展
- Author:
Xiaowei YE
1
;
Shaoqiang LIU
;
Peihong ZENG
;
Boling LIU
Author Information
1. Department of Spine Surgery, Fuzhou Second Hospital of Xiamen University, Fuzhou 350007, China
- Publication Type:Review
- Keywords:
Hematoma, epidural, spinal;
Early diagnosis;
Risk factors
- From:
Chinese Journal of Surgery
2017;55(11):877-880
- CountryChina
- Language:Chinese
-
Abstract:
Symptomatic spinal epidural hematoma (SSEH) following spinal surgery is rare but one of the serious complications. SSEH can leave devastating neurological consequences if missing the optimal timing for treatment. The early diagnosis of SSEH is critical to the neurologic recovery, and MRI examination can help to check the location and the scope of the hematoma and provide imaging information for surgical operation. The risk factors of SSEH can be divided into preoperative factors, intraoperative factors and postoperative factors. The occurrence of SSEH can be minimized by controlling the risk factors, exact hemostasis and reasonable perioperative management. Patients with mild paralysis can choose conservative treatment, while patients with severe or progressive nerve injury (manual muscle testing <3) and unendurable nerve root pain should choose to clean the hematoma and decompress the nerve as soon as possible.
