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Cervical Ligamentum Flavum Hematoma: A Case Report

Study Design Case report. Objective To report the first case of ligamentum flavum hematoma after cervical spine instrumentation 11 years after the index surgery. Methods After performing bilateral C3 and C4 laminectomy, we observed a dark greenish discoloration over the ligamentum flavum, which was...

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Autores principales: Haghnegahdar, Ali, Sedighi, Mahsa, Rahmanian, Abdolkarim, Baghban, Fahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733368/
https://www.ncbi.nlm.nih.gov/pubmed/26835213
http://dx.doi.org/10.1055/s-0035-1550342
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author Haghnegahdar, Ali
Sedighi, Mahsa
Rahmanian, Abdolkarim
Baghban, Fahim
author_facet Haghnegahdar, Ali
Sedighi, Mahsa
Rahmanian, Abdolkarim
Baghban, Fahim
author_sort Haghnegahdar, Ali
collection PubMed
description Study Design Case report. Objective To report the first case of ligamentum flavum hematoma after cervical spine instrumentation 11 years after the index surgery. Methods After performing bilateral C3 and C4 laminectomy, we observed a dark greenish discoloration over the ligamentum flavum, which was opened. We evacuated 15 mL of subacute hematoma. Results The first ligamentum flavum hematoma of the cervical spine that occurred after spinal instrumentation with sublaminar hooks. Conclusion Ligamentum flavum hematoma might happen even after a long delay (in our case, 11 years) from spinal instrumentation (sublaminar hooks). In symptomatic patients, evacuation is the treatment of choice. In cases of instrument adhesion to the surrounding intracanal tissues, removal should be done meticulously after performing a complete release.
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spelling pubmed-47333682016-02-01 Cervical Ligamentum Flavum Hematoma: A Case Report Haghnegahdar, Ali Sedighi, Mahsa Rahmanian, Abdolkarim Baghban, Fahim Global Spine J Article Study Design Case report. Objective To report the first case of ligamentum flavum hematoma after cervical spine instrumentation 11 years after the index surgery. Methods After performing bilateral C3 and C4 laminectomy, we observed a dark greenish discoloration over the ligamentum flavum, which was opened. We evacuated 15 mL of subacute hematoma. Results The first ligamentum flavum hematoma of the cervical spine that occurred after spinal instrumentation with sublaminar hooks. Conclusion Ligamentum flavum hematoma might happen even after a long delay (in our case, 11 years) from spinal instrumentation (sublaminar hooks). In symptomatic patients, evacuation is the treatment of choice. In cases of instrument adhesion to the surrounding intracanal tissues, removal should be done meticulously after performing a complete release. Georg Thieme Verlag KG 2015-04-29 2016-02 /pmc/articles/PMC4733368/ /pubmed/26835213 http://dx.doi.org/10.1055/s-0035-1550342 Text en © Thieme Medical Publishers
spellingShingle Article
Haghnegahdar, Ali
Sedighi, Mahsa
Rahmanian, Abdolkarim
Baghban, Fahim
Cervical Ligamentum Flavum Hematoma: A Case Report
title Cervical Ligamentum Flavum Hematoma: A Case Report
title_full Cervical Ligamentum Flavum Hematoma: A Case Report
title_fullStr Cervical Ligamentum Flavum Hematoma: A Case Report
title_full_unstemmed Cervical Ligamentum Flavum Hematoma: A Case Report
title_short Cervical Ligamentum Flavum Hematoma: A Case Report
title_sort cervical ligamentum flavum hematoma: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733368/
https://www.ncbi.nlm.nih.gov/pubmed/26835213
http://dx.doi.org/10.1055/s-0035-1550342
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