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Year : 2021  |  Volume : 8  |  Issue : 4  |  Page : 35-38

Delayed Epidural Hematoma Following Cervical Laminoplasty

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Ravi Sreenivasan
Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joss.joss_5_21

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Postoperative spinal epidural hematoma following posterior cervical spinal surgery is a well-known complication. We report a patient who developed epidural hematoma following C4-D1 laminoplasty on the 10th postoperative day and developed worsening quadriparesis (after significant improvement in the postoperative period), and patient had no coagulation or bleeding disorders. The patient was managed by emergent evacuation of hematoma and recovered well. Our case highlights the fact that a postoperative epidural hematoma can occur anytime following posterior spinal surgery even in patients without any predisposing factors. To the best of our knowledge, only three such cases have been reported in the literature previously and two out of the three cases were on anticoagulants.

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