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Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report

Lumbar spine fusion has become a common and effective procedure in orthopedic practice, and a spinal subdural hygroma development is a rare complication following this procedure. We report here the case of a revision lumbar spine fusion at levels L4-5, L5-S1, where the patient subsequently developed...

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Autores principales: Nentwig, Michelle J, Whitaker, Camden M, Yang, Shang-You
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831950/
https://www.ncbi.nlm.nih.gov/pubmed/31723404
http://dx.doi.org/10.1093/jscr/rjz305
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author Nentwig, Michelle J
Whitaker, Camden M
Yang, Shang-You
author_facet Nentwig, Michelle J
Whitaker, Camden M
Yang, Shang-You
author_sort Nentwig, Michelle J
collection PubMed
description Lumbar spine fusion has become a common and effective procedure in orthopedic practice, and a spinal subdural hygroma development is a rare complication following this procedure. We report here the case of a revision lumbar spine fusion at levels L4-5, L5-S1, where the patient subsequently developed cauda equina syndrome 2 days post-operatively. Magnetic resonance imaging (MRI) showed a subdural, extra-arachnoid fluid collection from T12-L2, cephalad to the site of spine fusion. It appears the first case reported a subdural hygroma developed cephalad to the site of spine fusion. When a patient complains of radicular pain along with urinary retention and neurologic deficits post-lumbar spine surgery, cauda equina syndrome possibly caused by subdural hygroma should be considered. This warrants immediate MRI and emergent reoperation to relieve the pressure on the spinal cord may be necessary.
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spelling pubmed-68319502019-11-13 Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report Nentwig, Michelle J Whitaker, Camden M Yang, Shang-You J Surg Case Rep Spine Surgery Lumbar spine fusion has become a common and effective procedure in orthopedic practice, and a spinal subdural hygroma development is a rare complication following this procedure. We report here the case of a revision lumbar spine fusion at levels L4-5, L5-S1, where the patient subsequently developed cauda equina syndrome 2 days post-operatively. Magnetic resonance imaging (MRI) showed a subdural, extra-arachnoid fluid collection from T12-L2, cephalad to the site of spine fusion. It appears the first case reported a subdural hygroma developed cephalad to the site of spine fusion. When a patient complains of radicular pain along with urinary retention and neurologic deficits post-lumbar spine surgery, cauda equina syndrome possibly caused by subdural hygroma should be considered. This warrants immediate MRI and emergent reoperation to relieve the pressure on the spinal cord may be necessary. Oxford University Press 2019-11-06 /pmc/articles/PMC6831950/ /pubmed/31723404 http://dx.doi.org/10.1093/jscr/rjz305 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Spine Surgery
Nentwig, Michelle J
Whitaker, Camden M
Yang, Shang-You
Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title_full Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title_fullStr Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title_full_unstemmed Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title_short Spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
title_sort spinal subdural hygroma as a post-operative complication in revision spine fusion: a case report
topic Spine Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831950/
https://www.ncbi.nlm.nih.gov/pubmed/31723404
http://dx.doi.org/10.1093/jscr/rjz305
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