首次报告骨盆环骨折后出现腰椎硬膜外血肿。

IF 0.7 Q4 CLINICAL NEUROLOGY
Moritz Wagner, Tino Riegger, Alexander Brunner, Dietmar Dammerer, Benjamin Ulmar, Hedye Aliabadi
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引用次数: 0

摘要

简介脊柱硬膜外血肿是一种罕见病,最常见于脊柱手术并发症。对于有神经功能缺损的患者,手术减压通常可以取得良好的疗效:病例:一名 56 岁、身体健康的患者因骨盆环形骨折被送入骨科急诊室。4 天后,患者出现腰椎硬膜外血肿,主诉疼痛放射至 S1 皮节,并伴有鞍部麻痹。经过手术对血肿进行减压,患者完全康复:据我们所知,这是第一例骨盆环骨折后脊柱硬膜外血肿的报告。脊柱硬膜外血肿的病因多种多样,但最常见于脊柱手术后。腰椎骨折后很少出现这种情况,几乎只出现在强直性脊柱炎患者身上:结论:骨盆环骨折可能导致脊柱硬膜外血肿。结论:骨盆环骨折可能导致脊髓硬膜外血肿,此类骨折后出现神经功能缺损是腰骶部磁共振成像的适应症。手术减压一般可缓解神经症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

First report of lumbar spinal epidural hematoma after pelvic ring fracture.

First report of lumbar spinal epidural hematoma after pelvic ring fracture.

Introduction: Spinal epidural hematoma is a rare condition that most commonly occurs as a complication of spinal surgery. For patients with neurological deficits, surgical decompression can generally provide good outcome.

Case: A 56-year-old, otherwise healthy, patient was admitted to the orthopedic emergency department with a pelvic ring fracture. Over the course of 4 days, a lumbar spinal epidural hematoma developed, with the patient complaining of pain radiating to the S1 dermatome and saddle paresthesia. The hematoma was surgically decompressed, and the patient had a complete recovery.

Discussion: To our knowledge, this is the first report of a spinal epidural hematoma after pelvic ring fracture. The etiology of spinal epidural hematoma is diverse, but it is most frequently observed after spinal surgery. It has rarely been observed after lumbar spinal fractures, nearly exclusively in patients with ankylosing spondylitis.

Conclusion: Pelvic ring fracture might result in spinal epidural hematoma. The presence of neurological deficits after such fractures is an indication for lumbosacral MRI. Surgical decompression will generally resolve the neurological symptoms.

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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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