Spinal Epidural Hematoma Producing Neural Compression after Bilateral Rod Fractures in Failed Long-Construct Fusion: A Case Report

Amy L. Xu; Kevin C. Mo; Jacob M. Babu; Brian J. Neuman

doi:10.2106/JBJS.CC.21.00745

Spinal Epidural Hematoma Producing Neural Compression after Bilateral Rod Fractures in Failed Long-Construct Fusion: A Case Report

Amy L. Xu, Kevin C. Mo, Jacob M. Babu, Brian J. Neuman

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 75-year-old woman with remote history of T10-S1 spinal fusion with pelvic fixation presented with radicular back pain and numbness in the right lower extremity. Imaging showed bilateral rod fractures at L4-5 and a dorsal spinal epidural hematoma (SEH) with associated severe canal narrowing and cauda equina compression. The patient underwent bilateral L4-5 laminectomies, hematoma evacuation, reinforcement of multilevel nonunion, and implant replacement. Her symptoms resolved after the procedure.Conclusion:SEH is a rare complication that may occur secondary to failed spinal fusion and must be considered in the differential diagnosis of new or progressive neurological symptoms.

Original language	English
Article number	A28
Journal	JBJS case connector
Volume	12
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.21.00745
State	Published - Feb 10 2022

Keywords

adult
female
HLD
HTN
hypothyroidism
instrumented spinal fusion
lumbar stenosis
neural compression
numbness
obesity
radicular pain
rod fracture
scoliosis
spinal epidural hematoma

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10.2106/JBJS.CC.21.00745

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title = "Spinal Epidural Hematoma Producing Neural Compression after Bilateral Rod Fractures in Failed Long-Construct Fusion: A Case Report",

abstract = "Case:A 75-year-old woman with remote history of T10-S1 spinal fusion with pelvic fixation presented with radicular back pain and numbness in the right lower extremity. Imaging showed bilateral rod fractures at L4-5 and a dorsal spinal epidural hematoma (SEH) with associated severe canal narrowing and cauda equina compression. The patient underwent bilateral L4-5 laminectomies, hematoma evacuation, reinforcement of multilevel nonunion, and implant replacement. Her symptoms resolved after the procedure.Conclusion:SEH is a rare complication that may occur secondary to failed spinal fusion and must be considered in the differential diagnosis of new or progressive neurological symptoms.",

keywords = "adult, female, HLD, HTN, hypothyroidism, instrumented spinal fusion, lumbar stenosis, neural compression, numbness, obesity, radicular pain, rod fracture, scoliosis, spinal epidural hematoma",

author = "Xu, {Amy L.} and Mo, {Kevin C.} and Babu, {Jacob M.} and Neuman, {Brian J.}",

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doi = "10.2106/JBJS.CC.21.00745",

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T2 - A Case Report

AU - Xu, Amy L.

AU - Mo, Kevin C.

AU - Babu, Jacob M.

AU - Neuman, Brian J.

PY - 2022/2/10

Y1 - 2022/2/10

N2 - Case:A 75-year-old woman with remote history of T10-S1 spinal fusion with pelvic fixation presented with radicular back pain and numbness in the right lower extremity. Imaging showed bilateral rod fractures at L4-5 and a dorsal spinal epidural hematoma (SEH) with associated severe canal narrowing and cauda equina compression. The patient underwent bilateral L4-5 laminectomies, hematoma evacuation, reinforcement of multilevel nonunion, and implant replacement. Her symptoms resolved after the procedure.Conclusion:SEH is a rare complication that may occur secondary to failed spinal fusion and must be considered in the differential diagnosis of new or progressive neurological symptoms.

AB - Case:A 75-year-old woman with remote history of T10-S1 spinal fusion with pelvic fixation presented with radicular back pain and numbness in the right lower extremity. Imaging showed bilateral rod fractures at L4-5 and a dorsal spinal epidural hematoma (SEH) with associated severe canal narrowing and cauda equina compression. The patient underwent bilateral L4-5 laminectomies, hematoma evacuation, reinforcement of multilevel nonunion, and implant replacement. Her symptoms resolved after the procedure.Conclusion:SEH is a rare complication that may occur secondary to failed spinal fusion and must be considered in the differential diagnosis of new or progressive neurological symptoms.

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KW - female

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KW - HTN

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KW - instrumented spinal fusion

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KW - neural compression

KW - numbness

KW - obesity

KW - radicular pain

KW - rod fracture

KW - scoliosis

KW - spinal epidural hematoma

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Spinal Epidural Hematoma Producing Neural Compression after Bilateral Rod Fractures in Failed Long-Construct Fusion: A Case Report

Abstract

Keywords

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