Spinal hematoma after total knee arthroplasty: a case report

Spinal anesthesia is a common procedure performed in orthopedic surgery, and it is regarded as secure and safe. Although puncture-related complication of spinal anesthesia has a very low incidence, it would lead to dramatic neurological damage (tetra- or paraplegia). Early diagnosis and surgical dec...

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Autores principales: Cortina, G, Collarile, M, Condello, V, Orlandi, R, Russo, A, Madonna, V, Pieracci, N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397509/
https://www.ncbi.nlm.nih.gov/pubmed/34466215
http://dx.doi.org/10.1093/jscr/rjab354
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author Cortina, G
Collarile, M
Condello, V
Orlandi, R
Russo, A
Madonna, V
Pieracci, N
author_facet Cortina, G
Collarile, M
Condello, V
Orlandi, R
Russo, A
Madonna, V
Pieracci, N
author_sort Cortina, G
collection PubMed
description Spinal anesthesia is a common procedure performed in orthopedic surgery, and it is regarded as secure and safe. Although puncture-related complication of spinal anesthesia has a very low incidence, it would lead to dramatic neurological damage (tetra- or paraplegia). Early diagnosis and surgical decompression are mandatory to promote a better outcome. We present a case of acute spinal hematoma from T11 to L3, triggered by laborious anesthesia puncture after total knee arthroplasty. A prompt surgical decompression within few hours after diagnosis allowed rapid functional recovery and avoided permanent paraplegia.
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spelling pubmed-83975092021-08-30 Spinal hematoma after total knee arthroplasty: a case report Cortina, G Collarile, M Condello, V Orlandi, R Russo, A Madonna, V Pieracci, N J Surg Case Rep Case Report Spinal anesthesia is a common procedure performed in orthopedic surgery, and it is regarded as secure and safe. Although puncture-related complication of spinal anesthesia has a very low incidence, it would lead to dramatic neurological damage (tetra- or paraplegia). Early diagnosis and surgical decompression are mandatory to promote a better outcome. We present a case of acute spinal hematoma from T11 to L3, triggered by laborious anesthesia puncture after total knee arthroplasty. A prompt surgical decompression within few hours after diagnosis allowed rapid functional recovery and avoided permanent paraplegia. Oxford University Press 2021-08-27 /pmc/articles/PMC8397509/ /pubmed/34466215 http://dx.doi.org/10.1093/jscr/rjab354 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cortina, G
Collarile, M
Condello, V
Orlandi, R
Russo, A
Madonna, V
Pieracci, N
Spinal hematoma after total knee arthroplasty: a case report
title Spinal hematoma after total knee arthroplasty: a case report
title_full Spinal hematoma after total knee arthroplasty: a case report
title_fullStr Spinal hematoma after total knee arthroplasty: a case report
title_full_unstemmed Spinal hematoma after total knee arthroplasty: a case report
title_short Spinal hematoma after total knee arthroplasty: a case report
title_sort spinal hematoma after total knee arthroplasty: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397509/
https://www.ncbi.nlm.nih.gov/pubmed/34466215
http://dx.doi.org/10.1093/jscr/rjab354
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