Clinical case reports
Delayed Postoperative Spinal Epidural Hematoma After Thoracic OPLL Surgery: A Case Report and Literature Review.
Hayato Takei, Tetsuro Ohba, Nobuki Tanaka, Kotaro Oda, Kai Mizukami, Go Goto, Hirotaka Haro
Published: 202610.1002/ccr3.71810
Abstract
Open AccessNew axial pain with rapid neurological decline weeks after surgery for thoracic ossification of the posterior longitudinal ligament may signal delayed postoperative epidural hematoma. Immediate MRI and urgent decompression are critical. Consider occult clot-stabilization defects such as factor XIII deficiency when routine coagulation tests are normal.