Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2022; 10(22): 7973-7981
Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.7973
Delayed arterial symptomatic epidural hematoma on the 14th day after posterior lumbar interbody fusion: A case report
Shen-Shen Hao, Zhen-Fu Gao, Hong-Ke Li, Shuai Liu, Sheng-Li Dong, Hong-Lei Chen, Zhi-Fang Zhang
Shen-Shen Hao, Zhen-Fu Gao, Hong-Ke Li, Shuai Liu, Sheng-Li Dong, Hong-Lei Chen, Zhi-Fang Zhang, Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan 467000, Henan Province, China
Author contributions: Hao SS was a major contributor and wrote the first draft of the article; Gao ZF critically reviewed and edited drafts; Dong SL diagnosed the patient; Gao ZF and Li HK treated the patient; Liu S made substantial contributions to the conception and designed of the manuscript; Chen HL and Zhang ZF followed up the patients; All authors read and approved the final manuscript.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng-Li Dong, Chief Doctor, Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, No.1 South Yard, Kuanggong Middle Road, Xinhua District, Pingdingshan 467000, Henan Province, China. dong0375@126.com
Received: January 2, 2022
Peer-review started: January 2, 2022
First decision: April 8, 2022
Revised: May 16, 2022
Accepted: June 26, 2022
Article in press: June 26, 2022
Published online: August 6, 2022
Core Tip

Core Tip: Posterior lumbar interbody fusion (PLIF) is a standard surgical method for the treatment of lumbar disc herniation. Delayed arterial symptomatic epidural hematoma is an infrequent complication after lumbar spine surgery, occurring with extreme rarity as late as the 14th day after PLIF. Without timely diagnosis and treatment, clinical consequences could be severe. Once the complication had been found in the present case, early surgical hematoma removal and strict hemostasis treatment were required.