Recurrent spinal subdural hematoma following percutaneous kyphoplasty:A unique case report  

作　　者：Wen-Hui Liu Xin-Min Lin Xin-Yu Lu Hai Han Liang-Zhi Zhang Hai-Xian Lin Zi-Wen Liu 

机构地区：[1]Department of Orthopedics,People's Hospital of Fujian Province,Fuzhou,350000,China

出　　处：《Chinese Journal of Traumatology》2024年第6期354-358,共5页中华创伤杂志（英文版）

摘　　要：Spinal intradural(subdural and subarachnoid)hematoma following percutaneous kyphoplasty is an extremely rare complication.In this report,we described a case of 2 episodes of subarachnoid hemorrhage with delayed paralysis after kyphoplasty.A 73-year-old man underwent percutaneous kyphoplasty in our hospital an osteoporotic vertebral fracture at the T12 level.On the 55 h after kyphoplasty for T12 osteoporotic vertebral fracture,he developed paralysis of the lower limbs.An emergency posterior decompression from T8 to L2 was performed.And the subarachnoid hematomas were removed.Postoperatively,the neurological symptoms improved rapidly.However,2 weeks after the operation,the patient experienced a setback with severe neurological decline(paraplegia with sensory and autonomic dysfunction).An emergency posterior decompression from T5 to L2 was performed.The subarachnoid hematomas were removed.This case reflects the cause and progression of spinal subdural hematoma.Previous literature has debated the best treatment approach for spinal subarachnoid hemorrhage,but the prognosis of patients is heavily dependent on precise symptom evaluation and localization.

关 键 词：Spinal subarachnoid hemorrhage Rare complication Osteoporotic vertebral fracture(OVF) Venous overload Percutaneous kyphoplasty Case report 

分 类 号：R687.3[医药卫生—骨科学] R651[医药卫生—外科学]