Perspective: Postoperative spinal epidural hematomas (pSEH) should be treated, not ignored
Nancy E. Epstein,
Marc A Agulnick
Abstract:Background:
Patients with postoperative spinal epidural hematomas (pSEH) typically require emergency treatment to avoid paralysis; these hematomas should not be ignored. pSEH patients need to undergo immediate MR studies to document the location/extent of their hematomas, and emergent surgical decompression with/ without fusion if warranted.
Methods:
The frequencies of symptomatic pSEH ranged in various series from 0.1%-4.46%. Major predisposing factors included; perioperative/postoperative coagulation abn… Show more
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